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Women in Innovation (WiIN) Rwanda 2017

– RegistrationForm –

Women in Innovation (WiIN)– a free training program in Kigali for young women
The Women in Innovation (WiIN) program is designed to increase the success of women in science careers in Africa.

WiIN will do this by offering young women one week’sfree training in Kigalito help them go from student to professional.

Through the WiIN program, female university graduates will have the opportunity to develop communication and leadership skills, build professional networks, and learn practical tools for pursuing, obtaining, and thriving in a career in a STEM-related field. The comprehensive week-long program targets recent university graduates as they transition from student to professional.

The pilot WiIN program will take place in Kigali, Rwanda in June 2017 and aims to reach 1000 female college graduates. This program is presented by Johnson & Johnson Innovation LLC at no charge to participants as part of the company’s strong global commitment to increase the number of women in science and technology careers.

The program will take place at the Kigali Conference and Exhibition Village (near Serena Hotel).
Estimated time required to complete the registration: 15 minutes.
Requirements

  • The program is open to participants who have completeda bachelor or undergraduate university degree bysummer 2017.
  • Availability to attend the entire week-long program (Monday – Friday) during one of four sessions between June 5 – June 30, 2017.
  • Be able to arrange own travel/accommodation to Kigali and be able to arrange transport to/from conference venue (KigaliConference and Exhibition Village in central Kigali).

We are looking forward to your registration!

Please submit this application form together with

1.Your Resume (1-2 pages)

2.Your photo (passport size)

to

Subject of the email: “Registration WiIN - YOUR LAST NAME”.

*Indicates required field

Biographical Information

1.First Name(s)*
2.Family Name*
3.Phone number and email address*
4.Physical address*

5. Higher Education

Please fill in details of universities or degree-awarding institutions you have attended - starting with the highest qualification (include university exchange programs).

University or other degree-awarding institution / Graduation
Date (MM/YYYY) / Degreetitle / Major Subjector
Specialization
1.*
2.

6. Provide brief responses to the following questions (each question has a limit of 150 words)*

1. Why do you want to attend the WiIN program? (limit of 150 words)*

2. What would you like to contribute to the program? (limit of 150 words)*

3. What skills would you like to learn during the WiIN program? (limit of 150 words)*

4. How would you like to change Rwanda and Africa through your work within 5 years? (limit of 150 words)*

7. Where did you hear about the WiIN program?* ______

(For example: UR, Social media, WilN website, Referral from a friend, J&J website, Other)

8. Availability for the WiIN course*

Please indicate your preferred week - we will do our best to accommodate all requests, but cannot guarantee that all requests can be accommodated.

Week / Available? (Please respond with a yes or no).
Monday, 5 June – Friday, 9 June, 2017*
Monday, 12 June – Friday, 16 June, 2017*
Monday, 19 June – Friday, 23 June, 2017*
Monday, 26 June – Friday, 30 June, 2017*

9. Terms & Conditions

By submitting this registration, I hereby certify that all of the information provided in this registration is accurate, complete, and current to the best of my knowledge, and that this registration is being made for serious consideration of participation in the WiIN program. I understand that, if I am offered and if I accept a place at WiIN, I will be expected to participate fully in the program in Kigali. Furthermore, I agree to inform the WiIN team immediately of any changes and amendments.

10. Data Collection Statement

The information you submit is subject to our Privacy Policy. Videos and pictures could be made available publicly as testimonial for this initiative.

By registering and consenting, you acknowledge that you have reviewed and agree to our Privacy Policy.

By sending this application to us, you represent that you are fully authorized to register and fill in this application form and that your personal information would be transferred to countries outside of your country of residence, including the United States, which may provide for different data protection rules than in your country.

I ACCEPT

Date*: Please type your full name here*: