Legatum Center for Development and Entrepreneurship...

Legatum Center for Development and Entrepreneurship: Fellowship Application 2019-2020 ApplicationRequirementsTosubmitaneligibleapplication,youneedto:-Completethe2019-2020applicationform-UploadyourResume/CV(1pagemax)Youcansaveandedityourapplicationupuntilthedeadline;onceyousubmititisfinalized.Ifyourequiretechnicalsupport,(forexampleyouarehavingproblemsloggingin),[email protected],(forexample,youareunsurehowtoanswercertainquestions),[email protected]+1617-324-7775.*Allcharacterlimitsstatedintheapplicationformincludespaces

Personal Information FirstName

MiddleName/MiddleInitial

LastName

PreferredName

CountryofCitizenship

GeographicRegion

CountryofPermanentResidence(Ifdifferentfromcountryofcitizenship)

GeographicRegion

Age(optional)

Gender(optional)

Do you hold dual citizenship? Yes

No

Please identify your country of dual citizenship

Have you applied for any of the Legatum Center’s programs in the past? Yes

No

Identify the program and year to which you previously applied:

Contact Information StreetAddress

City

State/Province/Region

Country

PostalCode

PhoneNumber(includecountrycode)

EmailAddress

SkypeID

GoogleHangoutID

LinkedInPage

Twitter

MIT Enrollment Status

Please select your current MIT status EnrolledMITgraduatestudent

EnrolledMITgraduatestudentbeginningadifferentMITgraduatedegreenextacademicyear

EnrolledMITundergraduatestudent

EnrolledMITundergraduatestudentacceptedintoanMITgraduateprogram

EnrolledMIT5-yearcombinedundergraduateandgraduatedegreestudent

Non-MITstudentacceptedtoanMITgraduateprogram

Non-MITstudent(applicationpending)

What is your MIT ID?

Please provide the email address and contact information you provided for that application

If are accepted to a program for the MIT academic year, please upload your admissions letter

MIT School Information

In which MIT school are you currently enrolled? SchoolofArchitectureandPlanning

SchoolofEngineering

SchoolofHumanities/ArtsandSocialSciences

SloanSchoolofManagement

SchoolofScience

Other

Please explain.

What degree program are you currently pursuing? BachelorofScience,S.B.

DoctorofPhilosophy,Ph.D.

DoctorofScience,Sc.D.

Engineer'sDegree,Eng.

MasterinCityPlanning,M.C.P.

MasterofArchitecture,M.Arch.

MasterofBusinessAdministration,M.B.A.

MasterofEngineering,M.Eng.

MasterofFinance,M.Fin.

MasterofScience,S.M.

Other

Please explain.

In which MIT school will you be enrolled next academic year? SchoolofArchitectureandPlanning

SchoolofEngineering



SchoolofScience

Other

Please explain.

What degree program will you be pursuing at MIT next academic year? BachelorofScience,S.B.










Other

Please explain.

If Sloan MBA, are you in the Entrepreneur and Innovation track? Yes

No

Undecided

What will be your field of study at MIT next academic year? AeronauticsandAstronautics

AerospaceEngineering

AerospaceEngineeringwithInformationTechnology

AfricanandAfricanDiasporaStudies

AmericanStudies

AncientandMedievalStudies

Anthropology

AppliedOceanScienceandEngineering

ArchaeologyandMaterials

Architecture

...92additionalchoiceshidden...

Science,Technology,andSociety

ShipbuildingandShipbuildingManagement

TechnologyandPolicyProgram

TheaterArts

Toxicology

Transportation

UrbanStudiesandPlanning

Women'sandGenderStudies

WritingandHumanisticStudies

Other

Please explain.

Anticipated graduation date from the program in which you will be enrolled next academic year ____/__/__(YYYY/MM/DD)

Are you a dual degree applicant? Yes

No

For Dual-Degree Applicants

In which MIT school are you enrolled/accepted for your second degree? MITSloan-HarvardKennedySchool

MIT-WellesleyCollege

MIT-WHOIJointPrograminOceanographyandAppliedOceanScienceandEngineering

SchoolofArchitectureandPlanning

SchoolofEngineering


SchoolofScience


Other

Please explain.

What is the degree program for your second degree? BachelorofScience,S.B.










Other

Please explain.

What is the field of study for your second degree? AeronauticsandAstronautics

AerospaceEngineering

AerospaceEngineeringwithInformationTechnology

AfricanandAfricanDiasporaStudies

AmericanStudies

AncientandMedievalStudies

Anthropology

AppliedOceanScienceandEngineering

ArchaeologyandMaterials

Architecture

...92additionalchoiceshidden...

Science,Technology,andSociety

ShipbuildingandShipbuildingManagement

TechnologyandPolicyProgram

TheaterArts

Toxicology

Transportation

UrbanStudiesandPlanning

Women'sandGenderStudies

WritingandHumanisticStudies

Other

Please explain.

Anticipated graduation date of second degree ____/__/__(YYYY/MM/DD)

Tell us about you!

What are your strongest personal/ professional attributes as an entrepreneurial leader. Provide specific examples of entrepreneurial projects or teams that you have led. (Limit1000Characters)

How certain are you that you want to be an entrepreneur in the developing world post-graduation? (It’s okay to be on the fence!) What are your greatest fears or concerns about pursuing this entrepreneurial path – and how can we help you make up your mind? (Limit1000Characters)

Why are you passionate about this venture, and how have your experiences (educational, leadership, professional, etc.) prepared you to pursue it? (Limit1000Characters)

Have you lived in or visited the country in which you intend to launch or scale your venture? If so, for how long and in what capacity (e.g., resident of the country, studied there, worked there, etc.)? How has this experience been relevant to your venture? (Limit1000Characters)

How do you plan to use this fellowship to grow as an entrepreneurial leader and prepare you to work full-time as a developing world entrepreneur after graduation? (Limit1000Characters)

Have you taken any MIT courses (including online education courses – MITx) that have been relevant to the development of your venture? Yes

No

Please select all that apply 15.910InnovationStrategy

15.911BEntrepreneurialStrategy

15.232H1EffectiveBusinessModelsinFrontierMarkets

2.739/15.783/ESD.32ProductDesignandDevelopment

15.385SocialInnovationandEntrepreneurship

2.888ProfessionalSeminarinGlobalManufacturingInnovationandEntrepreneurship

15.364RegionalEntrepreneurshipAccelerationLab(REAL)

15.779(formerly15.S14)Technology,Design,andEntrepreneurship:OperatinginEmergingCommunities

15375/EC.731/MA5.665DevelopmentVentures

15.128/20.454RevolutionaryVentures:HowtoInventandDeployTransformativeTechnologies

15.359InnovationEngineering:MovingIdeastoImpact

15.360IntroductiontoTechnologicalEntrepreneurship

15.378BuildinganEntrepreneurialVenture:AdvancedToolsandTechniques

15.390NewEnterprises

15.395EntrepreneurshipwithoutBorders

15.399EntrepreneurshipLab

15.785DigitalProductManagement

15.S68SSIM:OpportunitiesinDevelopingEconomies

10.807/15.371InnovationTeams

6.933EntrepreneurshipinEngineering:TheFounder’sJourney

Please list any additional courses (including MITx) that are relevant

Tell us about your idea! NameofBusiness/Idea

CountryofImplementation

GeographicRegion Africa

Asia

Europe

Oceania

TheAmericas

BusinessModel For-Profit

Non-Profit

Hybrid:For-Profit&Non-Profit

Undecided

Industry/Sector Agriculture

Apparel&Accessories

Automotive

Chemicals

ConsumerGoods

Education

Energy/Utilities

Food&Beverage

FinancialServices

Heathcare/Pharma

IT/Telecom

Law/LegalServices

Manufacturing

Media

ProfessionalServices

RealEstate

Retail&Wholesale

Transportation

Tourism&Entertainment

YourBusiness'sWebsite

YourBusiness'sTwitterHandle

YourBusiness'sFacebookPage

Please provide a brief description of your venture. (Limit1000Characters)

The following 6 questions are to help us assess your stage of development. We do not expect that you will rate your venture a 4 or 5 in all categories. We are most interested in understanding the current stage of your venture, and what your plans are to leverage the fellowship and your time at MIT in order to prepare you to scale the venture post-graduation.

On a scale of one to five describe the stage of your venture in terms of the following:General stage of development 1(e.g.,Idea/Exploration)

2

3(e.g.,ProofofConcept)

4

5(e.g.,InOperationwithpayingcustomers)

On a scale of one to five describe the stage of your venture in terms of the following:Primary Market Research (PMR)/Customer Development 1(e.g.,NoPMR)

2

3(e.g.,PreliminaryPMR)

4

5(e.g.,PayingCustomer)

On a scale of one to five describe the stage of your venture in terms of the following:Product/Service Development

1(e.g.,StillintheLab/Testing)

2

3(e.g.,Prototype/Pilot)

4

5(e.g.,Manufacturing/ServicingatScale)

On a scale of one to five describe the stage of your venture in terms of the following:Team 1(e.g.,JustMe)

2

3(e.g.,2-5FoundingTeamMembers)

4

5(e.g.,+5TeamMembers)

On a scale of one to five describe the stage of your venture in terms of the following:Board

1(e.g.,NoBoard)

2

3(e.g.,BuildingaBoard)

4

5(e.g.,Board)

On a scale of one to five describe the stage of your venture in terms of the following:Funding Raised

1(e.g.,NoFunding)

2

3(e.g.,Grants/Family&Friends)

4

5(e.g.,Angel/Venture)

What is the problem you are trying to solve and for whose benefit? (Limit1000charactersforeachsection)

Definetheproblemandcurrent/potentialimpactofyourideainthedevelopingworld.Pleaseincluderelevantdataandresearch(primaryorsecondary)youhaveidentifiedtosupportthisproblemstatement.

Whoareyourcustomersandwhatisthemarketpotential?Pleaseincluderelevantdataandresearch(primaryorsecondary)youhaveidentifiedtosupporttheaddressablemarketsize.

Whatassumptionshaveyoutestedtodatethatsupportthisproblemstatementandtheopportunityforimpact?Whatassumptionsdoyouplantotestduringthefellowshiptobetterunderstandthisproblem?

What is your proposed product or service (in other words, your solution)? (Limit1000charactersforeachsection)

Describetheproposedproductorservice.

Whatprogresshaveyoumadeontheproductorservicetodate?Whatdoyouplantododuringthefellowshiptoadvanceyourproductorservice?

What is your competitive advantage? (Limit1000charactersforeachsection)

Whoareyourprimarycompetitors?

Whydoyoubelieveyourproductorservicewillbeabettersolutionthanyourcompetitors’,andhowdoyouplantotestyourassumptions?

What is your proposed business model? How do you expect to make money? (Limit1000Characters)

Where do you want your venture to be by June 2020? What is your vision for how you will launch, grow, and scale your venture between now and then? (Limit1000Characters)

What are the top challenges or risks you see as you grow/ scale your venture? Include your plan for how to address these risks. (Limit1000Characters)

Tell us about your current team, including a brief description of: (Limit1000charactersforeachsection)

Yourroleontheteam

Teammembers,includingnumberofcoremembers,theirroles,andrelevantexperience

Thekeyskillsyouneedtoaddtoyourteam

Tell us about your funding status, including: (Limit1000charactersforeachsection)

Thefundinghaveyouraisedtodate

Thefundingyouanticipateyouwillneedinthenext12monthstoreachthelevelofgrowthyoudescribedabove

Thefundingsources/platformsyouhaveutilizedtodate(e.g.,personalsavings/debt,grants,competitions,friendsandfamily,angel/venture,other)

How do you envision contributing as an individual and through your venture to the Legatum Center Mission? (Limit1000Characters)

FINANCIAL RESOURCES

What is the total estimated cost (in USD) of your MIT program for the 2018-2019 academic year? Tuition,booksandsupplies,housing,etc.

Do you have additional fellowships, scholarships, sponsorships, or other financial support (including personal and family funds) that you anticipate using to support your studies at MIT? The Legatum Center encourages you to apply for additional financial support so that the Center can make its resources available to other worthy candidates as well. Yes

No

Source 1: Please include the name of the source and the amount. SourceName

Amount(inUSD)

Confirmed? Yes

No

Doyouhaveadditionalresources? Yes

No


Amount(inUSD)

Confirmed? Yes

No


No


Amount(inUSD)

Confirmed? Yes

No


No


Amount(inUSD)

Confirmed? Yes

No


No

Do you have more than four sources? Yes

No

How much financial support (in USD) are you seeking from the Legatum Fellowship?

Are you (planning) on taking out loans next academic year? If yes, how much?

Please provide at least 3 professional references. Pleasenote,wewouldonlycontactthesereferencesifyoumadeittotheinterviewstageandwithyourpermission.

Reference 1 FirstName

LastName

Title/Company

Emailaddress

Phonenumber

Relationshiptoapplicant


LastName

Title/Company

Emailaddress

Phonenumber



LastName

Title/Company

Emailaddress

Phonenumber


Reference 4 (optional)

FirstName

LastName

Title/Company

Emailaddress

Phonenumber


Additional Questions

Do you know a Legatum Fellow? Yes

No

What is his or her name?

How did you hear about the Legatum Fellowship? (Check all that apply)

Legatum Center's LegatumEvent(Pleasestatethetopicorspeaker)______________________

ConferenceatMIT(Pleaseindicateyear)______________________

Email(Pleasespecifysender)______________________

Website

LegatumCenterEntrepreneur-in-Residence

Other,pleasespecify...______________________

Websites MITSloanSchoolofManagement

MartinTrustCenterforMITEntrepreneurship

MITOfficeofGraduateAdmissions-GeneralSite

Other(Pleasespecify)______________________

Social Media / Advertisement (Please specify page source or location) Facebook______________________

Twitter______________________

LinkedIn______________________

Article,Flyer,Radio______________________

Other______________________

Direct Contact (Please specify who) LegatumFellow/Alumni______________________

MITFaculty/Staff______________________

MITStudentorAlumni______________________

MITOrganizationorClub______________________

Non-MITContact______________________

Other Contact (Please specify event location and date) InformationSessionat______________________

Career/RecruitingFairat______________________

Conferenceat______________________

Other______________________

Would you like to opt-in to the Legatum Center mailing list? Yes

No

By signing below, I certify the information I have provided to be accurate.

Legatum Center for Development and Entrepreneurship...

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