Innovator Awards Application - Women Who Empower

PERSONAL INFORMATION

Name*

First

Maiden Name (if applicable)

Last

NUID (if available)

Email address*

Are you applying with another Northeastern founder? If so, add their name(s) here.

MAILING ADDRESS

Street Address*

City*

State*

Zip Code*

Country*

In which city, state, and country do you spend most of your time? (if different from your mailing address)

SOCIAL MEDIA

LinkedIn*

Twitter

Instagram

Personal or business website

Headshot*

If you would like to share a 30-60 second video to introduce yourself and your innovative vision, paste the URL here.

NORTHEASTERN INFORMATION

Northeastern Affiliation (select all that apply)*

STUDENT AND ALUMNI DETAILS

Do you have/or are you pursuing more than one degree from Mills College at Northeastern University?*

Yes

No

If so, how many degrees?*

Two

Three

Four

STUDENT AND ALUMNI DETAILS

Do you have/or are you pursuing more than one degree from Northeastern University London?*

Yes

No

If so, how many degrees?*

Two

Three

Four

PRIMARY DEGREE

Primary College

Major

Minor

Year of graduation

Please provide a description of your innovation or venture in one sentence. (~30 words)*

Which of these themes applies to your venture or innovation? (check all that apply)

Sustainability

Social Impact

Health and Wellness

Global Change

Why are you applying for the Women Who Empower Innovator Awards? (~150 words)*

Tell us what this award and funding would mean to you and your innovative and/or entrepreneurial ambitions. (~250 words)*

Do you have a current venture?

Yes

No

What is the current stage your venture is in?

Do you have external funding?

Yes

No

What external funding have you received?

Other funding type

If you have a current pitch deck for your venture, please upload it here (maximum 10MB file size).

Tell us about a particular role model who has provided inspiration to you. (~150 words)*

Tell us about a time when you overcame a significant challenge in your life. (~200 words)*

Please share ways you plan to support and advance our community of innovators in the future. (~150 words)*

List and discuss leadership roles (at school, work, or in your community) you have held, or awards you have received, in the past three years.*

List two individuals who can provide a character reference, along with their contact details, LinkedIn profile URLs, and an explanation of their relationship to you. A reference could be a faculty member, employer, mentor, or someone else in your network.*

Is there anything else you would like the selection committee to know? (~200 words)*

Women Who Empower Innovator Awards 2023 Application

PERSONAL INFORMATION

MAILING ADDRESS

SOCIAL MEDIA

NORTHEASTERN INFORMATION

STUDENT AND ALUMNI DETAILS

STUDENT AND ALUMNI DETAILS

STUDENT AND ALUMNI DETAILS

PRIMARY DEGREE

PRIMARY DEGREE

PRIMARY DEGREE

DEGREE ONE

DEGREE ONE

DEGREE TWO

DEGREE TWO

DEGREE THREE

DEGREE THREE

DEGREE FOUR

DEGREE FOUR

APPLICATION

Women Who Empower Innovator Awards
2023 Application