amref

HIP Challenge Application (#16)

Section 1 – Contact information

First Name

Last Name

WhatsApp Number

Location

City

Country

Age Range (Select)

Section 2 – Current Status

Section 3 – Current Activity

Tell us about any business, project, community initiative, or venture you are currently involved in.

Do you currently operate a business, project, venture, cooperative, or community initiative?

Yes

If yes, please describe your business, project, venture, cooperative, or initiative.

Do you currently generate income from your business, project, venture, cooperative, or initiative?

Yes

Not yet

Section 4 – Previous Training

Help us understand any entrepreneurship, leadership, innovation, business, or skills training you have already completed.

Have you previously completed entrepreneurship, business, innovation, leadership, or skills training?

Yes

If yes, please describe the training and what you learned.

Section 5 – Areas of Interest

Help us understand which opportunities are most relevant to your goals. You may select more than one option. Your responses will help us identify the pathways, learning opportunities, and support that may be most appropriate for you.

Which aspects of the HIP Challenge are you most interested in contributing to or exploring?

Product Development

Venture Development

Product Sales & Distribution

Microfranchise Opportunities

Licensing Opportunities

Employment & Placement

Income Generation

Community Impact

Not Sure Yet

Section 6 – Opportunity Assessment

Help us understand your goals, challenges, and aspirations.

What challenge are you currently trying to solve?

What opportunity are you most interested in pursuing?

What would success look like for you in the next 12 months?

Section 7 – Readiness Assessment

These questions help us understand your ability to participate in online activities and learning opportunities.

Do you have regular internet access?

Yes

Do you have access to a smartphone or computer?

Yes

Can you participate in online learning activities?

Yes

Section 8 – Participation Commitment

Please confirm that you understand the responsibilities associated with participation.

I understand that participation in HIP requires time, effort, and active engagement.

If selected, I commit to attending sessions, completing activities, and communicating when I need support.

I understand that opportunities are limited and that accepting a place means another applicant may not receive that opportunity.

I understand that my participation can impact not only my own future, but also the success of my team, community, and fellow participants.

I am applying because I genuinely intend to participate and make the most of this opportunity.

Section 9 – Acknowlgement

The Health Innovation Product Development Challenge (HIP) is designed to create meaningful opportunities for learning, participation, innovation, and impact. The acknowledgements below help ensure that applicants understand the responsibilities and commitments associated with participation.

I understand that participation in future opportunities may depend on engagement, performance, demonstrated commitment, and completion of required activities.

I confirm that the information provided in this application is accurate to the best of my knowledge.

Communities of Africa