IVL | Workshop Registration

First Name *

Last Name *

Age *

Enter your age in whole years.

Email Address *

Phone Number (optional)

For program-related contact only. No text-message subscription.

Name of your school (Must be inside of Sullivan's Network) *

Year in School *

How did you hear about this? *

Which of the following best describes your affiliation with the Sullivan network? (Choose multiple options if appropriate.) *

Student at a Sullivan network college or university

Sullivan student award recipient

Sullivan scholarship recipient

Sullivan Service Corps participant

Ignite Retreat participant

Sullivan Fellow Program

Previous Sullivan Impact Prize participant

Participant in a school business plan competition

Select all that apply.

Which of these issue areas interests you the most? *

Select one issue area.

Why are you interested in participating in the workshops? (200-word limit) *

Please keep your response to 200 words or fewer.

What’s the status of your impact venture? *

Note: This is only to understand where you are.

Are you hoping to participate with others or on your own? If others, please note down their names. (200-word limit) *

Please keep your response to 200 words or fewer.

Do you plan on attending all of the workshops to earn your certificate? *

Yes

No

Not sure yet

Which workshops will you attend? *

Workshop 01 (Wed. Nov. 4th - 6:00 pm to 7:15 pm ET): Impact Venture Plan Template - Introduction, Building Your Changemaking Team

Workshop 02 (Wed. Nov. 11th - 6:00 pm to 7:15 pm ET): Human-Centered and Systems Mapping

Workshop 03 (Mon. Nov.16th - 6:00 pm to 7:15 pm ET): Problem Diagnosis & Prioritization

Workshop 04 (Wed. Nov.18th - 6:00 pm to 7:15 pm ET): Innovation Ideation Whiteboarding

Workshop 05 (Wed. Dec. 2nd - 6:00 pm to 7:15 pm ET): Innovation Design & Delivery

Select all workshops you plan to attend. All times are Eastern Time (ET).

Do you plan on entering the Sullivan Impact Venture Competition (2027)? *

Yes

No

Not sure yet

Are you participating or do you plan on participating in other competitions? If so, which ones? (200-word limit) *

Please keep your response to 200 words or fewer. If none, enter None.