SafirLab 2018 - EN
SafirLab is an incubation programme open to young agents of change in the Arab world. Before completing this form, please ensure you meet the following criteria:

- you are aged between 20 and 30;

- you are a native and resident of one of the following eleven countries: Algeria, Egypt, Iraq, Jordan, Lebanon, Libya, Morocco, Syria, Palestinian territories, Tunisia, Yemen;

- you have launched an entrepreneurial project in one of the following areas: creation of online citizen media, cultural innovation, education, the rights of women and minorities, sustainable development and health issues.
Commencer
 
Your surname *

 
Your first name *

 
You are *


 
Your date of birth *

 
Submit your CV *

 
Submit your photo *

 
Your email address *

 
Your Skype ID *

 
Your telephone number *

 
Your project

 
Project name *

 
Please provide an outline of your project *

 
What is the social and/or cultural issue that your project aims to solve? *

 
Describe your project team, stating the role of each member *

 
Does your project have a legal structure?
*


 
other: please specify

 
Do you have a business model? Have you developed income-generating activities? *

 
What are your project’s current (or completed) activities/actions? *

 
How do you see your project two years from now? *

 
Do you have any partners (institutions, media outlets, companies, etc.)? If so, please specify. *

 
Have you received any funding (grant, loan, etc.)? If so, please specify. *

 
Have you previously taken part in any international programmes or training courses for your project or another project? *

(topic, year, organiser, country)
 
Please rate the level of advancement of your project on a scale of 1 to 10 *

1 to 3: the idea is mature, you are beginning to lay the foundations of the project
4 to 7: your project is at the start-up phase, the initial actions to develop the project are being put in place
8 to 10: your project is gaining momentum, the effects of your innovation are being felt)

 
What are your expectations of SafirLab?

1 is the highest level of expectation, 5 is the lowest
 
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En deuxième choix *

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En quatrième choix *

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En cinquième choix *

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What are the specific issues you wish to solve with SafirLab? *

 
Which two organisations (company, association, local authority, etc.) do you wish to meet in Paris, and why? *

 
Do you have a website, Facebook page or Twitter account or any other online platform?
*

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