Sustainable Tech Showcase Application

First Name:
Last Name:
E-mail address:
Nationality:
Org/ Biz Affiliation:
Name of your innovation::
Primary Impact/Application of Technology:: Water
Waste
Transportation
Energy
Information
Health
Construction
Agriculture
Category (Submitting Party): Innovator/
Investor
Policy
Sub-category (Environment Applied):
What level of impact can this innovation make towards the sustainability of our planet?:
Was this innovation developed over months or years – “evolutionary” or a sudden breakthrough, “revolutionary”?: Revolutionary
Evolutionary
Is your work published, patented or secure in any way?: Yes
No
No
What do you hope to achieve through the presentation of your innovation at The Global Summit? (4 sentences max):
What will you bring to demonstrate your innovation at Expo?: Info
Scaled-down
Full
Other
Please describe any special space or technical requirements you might need if accepted (not in basic package or sponsor booth):
What stage of development /position do you see your innovation is at on the below flow chart?: R&D/To
New
Marketable
Profitable
Not
Please submit Link to a video on Youtube. *Note: Needed to participate in online Global Citizens Choice Awards for most innovative, effective and appropriate in each impact area.:
In 300 words or less, describe your technology’s purpose and unique impact.:
Either as innovator or as a representative of the inventor that the technology submitted is original and does not infringe on the copyrights of any party.: Yes
Select your interests:
Workshop Presenter / Program Partnership:
Community Outreach & Virtual Participation:
Partners In Empowerment (PIE) Knowledge Base:
 

Thank you! For comments or questions, please contact saurabh@theglobalsummit.org

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