Let's talk about tech, entrepreneurship and society!

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Hello dear Summit attendees!

This form is coming to you from Julia Binder and Nettra Pan. We're two practitioner-scholars at the Swiss Federal Institute of Technology in Lausanne, Switzerland of the Léman Sandbox Hub. We have been studying (and taking part in) how innovators start new ventures for social and/or commercial goals for 15+ years put together, and we'd like your help with this at the Summit.

We're working on a project intended to help would-be innovators recognize promising entrepreneurial opportunities in their local context, and we are looking to speak with tech entrepreneurs, social entrepreneurs, regular entrepreneurs (of course!), and intrapreneurs. If you would be willing to chat with us at the summit for 5-15 minutes, we'd be super grateful! The interviews will be used for a course appearing on edx.org.

PLEASE FILL BY OCT 1 IN CASE WE HAVE CONNECTIVITY ISSUES. OR CONTACT US AT +41791328988.

Can we conduct a filmed interview with you and use this footage for our course? *

We will provide you with a consent form at the Summit. Or feel free to ask us any questions you may have.

Yes

Other:

What's your first name? *

Your last name? *

Can we use your full name and company name in the video? *

If there is a privacy concern, please tell us on the day of.

Yes

Gender *

Male

Female

Prefer not to say

Other:

Key words describing you/your venture *

Do you have a physical home base? If so, where is it?

Phone number *

Please start with "+" then country code then your number

Can we reach your phone at the summit? *

I think so - you can call me

I think so - you can text me

I think so - try Whatsapp or Email

I will be off the grid!

Required

If you don't think you'd be a fit, maybe there's someone you think we absolutely must get on camera...

We appreciate your recommendations. We hope to talk to people from a variety of tech + geographic backgrounds.

Optional: in case we miss you at the summit, do you have an important message for us?

Optional: what languages do you speak?

Submit

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