AIA APPLICATION FORM | African Innovation Solutions Pvt Ltd

Application Form

Empowering Youth Through Innovation and Entrepreneurship

Thank you for your interest in the African Innovation Academy program in collaboration with iXperiment. Please complete the following application form to be considered for the 2025 cohort.

Personal Information

1. Full Name:

2. Date Of Birth

3. Age

4. Gender

5. Contact Information

Contact Number

Email Address

6. Home Address

7. School Name

Grade

Educational Background

8. What is your favorite subject in school and why?

9. Have you participated in any clubs, extracurricular activities, or projects? Yes: Please describe briefly

Program Interest

10. Why are you interested in participating in the African Innovation Academy program?

11. Have you ever started or been involved in a project or business idea? Yes: Please describe briefly (What was it about? What did you learn?)

12. What do you hope to gain from this program?

13. What problems in your community or school would you like to solve, and how would you approach them?

Additional Information

14. Do you require transportation assistance to attend the program?

Yes NO

15. Do you have any dietary restrictions (if applicable)?

16. Is there any additional information you would like to share with us?

Parent/Guardian Information

17. Parent/Guardian Full Name:

18. Contact Number:

19. Email Address:

20. Consent:

I, the parent/guardian of the applicant, give permission for my child to apply for the African Innovation Academy program.

Signature

Date

Declaration:

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