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Africa Climate Investing Forum – Forms

VIEW MEMBERSHIP DETAILS

Africa Climate Investing Forum Investor Application Form

Please ensure all required information is accurately and completely provided.

The forum costs $1500. Applications close on 12 January 2024.

An enrollment committee will review all the applications and inform applicants of the decision via email. Should the committee have any questions, an AVPA representative will reach out to you.

Please note that this form does not save data until you press submit at the bottom.

All fields are mandatory
Part One: Individual Information
Name*
First Last
Gender*
Residency (Country)*
Residency (City)
Personal Email*
Work Email*
Confirm Work Email*
Cell Phone Number (Including Country Code)*
Part Two: English Proficiency
English Proficiency*
Part Three: Organisation Information
Organisation Name*
Organisation Website*
Designation at the Organisation*
Where is your Organisation Headquartered?*
Nature of Business*
Organization Assets Under Management (in US dollar)*
Please list your Organisation’s Countries of Operation.*
Which other sectors or social causes does your organisation focus on?
What type of financial capital do you provide?
- Any
- Convertible Debt
- Convertible Grant
- Debt
- Equity
- Grant
You can make multiple selections
What type of non-financial capital do you provide?
- Access to networks
- Coaching / mentoring
- Financial management and/or accounting
- Fundraising and/or revenue strategy
- Human resources
- Impact measurement
- Information technology
- Legal support
- Marketing and communications
- Operational management
- Research
- Strategy consulting
- Trainings
- Use of facilities
- Other
You can make multiple selections
At which stage(s) of investment do you typically deploy capital?
- Seed Stage
- Early Stage
- Scaling / Later Stage
- Expansion into new regions or product / service offering innovation
- Transition from non profit to social enterprise model
You can make multiple selections
Please scan and upload a high-resolution profile picture/headshot in either JPG or PNG format.*
Max. file size: 2 MB.
Please provide;
1. a 100-word biography of yourself*
Max. file size: 1 GB.
a short overview of your organisation*
Max. file size: 1 GB.
This Forum will span four months for the core programme. You will be expected to attend at least 80% of the sessions and complete all pre-session readings and post-session assignments for the core programme. Are you committed to doing so?*
- Yes, I am fully committed
- No, I am unable to commit
How did you hear about this programme?
AVPA will like to continue staying in touch with you during and after the programme to support your impact investing journey. This includes - and is not limited to - learning about your speaking opportunities, your organisation’s impact investment milestones, your partnerships with other impact investors, and more. Would you like to stay in touch with AVPA?*
- Yes, I agee
- No, I do not
Would you like to subscribe to the AVPA newsletter to receive updates, stories, and opportunities on the African social investments landscape and the Impact space in general?
- Yes, I agee
- No, I do not
Would you like to receive invitations to AVPA webinars and other convenings?
- Yes, I agee
- No, I do not
By clicking on Submit button, I certify that: All the information provided is true and correct. I agree to the terms and conditions of this Forum. Once accepted, I will make my best effort to stay throughout the Forum.

Africa Climate Investing Forum Innovator Application Form

Please ensure all required information is accurately and completely provided.

Applications close on 12 January 2024.

An enrollment committee will review all the applications and inform applicants of the decision via email. Should the committee have any questions, an AVPA representative will reach out to you.

Please note that this form does not save data until you press submit at the bottom.

All fields are mandatory
Part One: Individual Information
Name*
First Last
Email*
Phone*
Part Two: Organisation Information
Organisation Name*
Where is your Organisation Headquartered?*
Is your organisation/innovation domiciled in Africa?*
Briefly describe the climate adaptation innovation you are currently working on (Max. 200 words)
Which climate adaptation challenges does your innovation address? Select all that apply.*
- Flooding
- Storms
- Pest Infestations
- Spread of Zoonotic Diseases
- Extreme Heat
- Drought
- Sea-level Rise
- Saltwater Intrusion
- Wildfires
- Soil Erosion
- Loss of Biodiversity
- Any Other:
You may make multiple selections
If any other
What is the stage of your innovation development?*
- Market Discovery
- Market Validation
- Business Model Development
- Investment Readiness & Early Traction
- Early Stage Growth & Market Penetratio
You may make multiple selections
Is your innovation technically sound, and have you completed any level of prototype or pilot testing? Please provide details.
- No prototype or pilot testing completed
- Prototype developed but not tested
- Prototype tested
- Pilot testing completed
- Other
What is the stage of your innovation development?
If other
Please elaborate on the technical robustness of your innovation, including any prototype or pilot testing that has been completed (Max 150 words):*
Does your project offer something novel or a significant improvement over existing solutions in the field of climate adaptation? Please quantify the degree of improvement over the existing state, to the extent possible. (Max 500 words)*
Please elaborate on the uniqueness and degree of improvement your innovation offers, providing quantifiable data or examples where possible (Max 200 words):*
How have you incorporated environmental sustainability into the design and delivery model of your innovation to ensure it does not perpetuate negative impacts on the environment (Max 100 words)?*
How does your innovation comply with ethical norms and contribute to positive social impact, including considerations of equity and inclusivity (Max 100 words)?*
By clicking on Submit button, I certify that: All the information provided is true and correct. I agree to the terms and conditions of this Forum. Once accepted, I will make my best effort to stay throughout the Forum.

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