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First Name:
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Application Form
Area of Interest:
Agriculture/Tourism/Energy/Education/Health/Manufacturing/
Others_______________________________________________
Occupation: Student/Working/Others
Organization Name:
*Champs:
Age group: 20-27 years
Passionate individual with a desire to explore and learn
Determined to take the road less travel
Possesses the ability to lead
Educational qualification not required
Facilitators:
Age group: 27 years and above
Experienced professionals, entrepreneurs, academicians and
intellectuals
Demonstrated leadership qualities and exceptional work
______________________________________________
Least Best
Example:
_3_ Likes _4_ _2_ Sensitive _1_ Likes
Authority Enthusiastic feeling Instructions
(The applicants are categorized in 4 levels according to their present state of entrepreneurial
journey. Please read the description of each level and mark on suitable level carefully.)
**Description of Levels:
Level 1: A person passionate to do something & urge to take up but
confused about the direction.
Level 2: A person with many ideas and wants to check it for
himself/herself but somewhere confused to take risk.
Level 3: A person with an idea or a plan to execute but doing some
passionless thing and looking for the right time to start.
Level 4: A person already playing with the idea and has grown it into a real
business but now wants to scale it properly.
Level 1:
Q.1: What is going on in your mind about entrepreneurship?
Q.2: What is the biggest challenge you have faced so far and what
did you learn from it?
Level 2:
Q.1: What is your understanding about entrepreneurship? (Word
Limit:200)
Q.2: What role does RISK play in an entrepreneurs journey? Explain
your RISK in life to take up entrepreneurship and its LEVEL of
importance to you.
Level 3:
Q.1: Tell us about your initiative/business idea?
Q.2: What is your roadmap for your entrepreneurship journey? What
are the constraints at this stage which are stopping you to implement
your idea?
Level 4:
Thanks for completing the application form for Yuva Prerna Yatra 2016.
Please send the filled form to following email id:
selection@yuvaprernayatra.org.