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Serbia BOLD Application Form
RM_Stats
Personal Information
Education
Emergency Contact Information
Professional Experience and Interests
Business idea and personal statement
Letter of Recommendation
Terms and responsibilities
First Name
*
Last Name
*
Email
*
Mobile Phone Number
*
Please include country code +xxx
Gender
*
Female
Male
Other
Age as of December 28, 2022
*
How old will you be after December 28, 2022?
Country of Birth
*
Country of Birth
*
City of Birth
*
Citizenship
*
Current place of residence
Address
*
City
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and the McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Iran
Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic Of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
*
Postal Code
*
Medical, Dietary, Disability or other Personal Considerations:
Please describe any pre-existing medical conditions, including any prescription medication the candidate may be taking, or any other dietary or personal consideration. This will not affect candidate selection, but will enable the host institution to make any necessary accommodations. If none, leave blank.
How did you hear about the BOLD Program?
*
Website of the U.S. Embassy
Incubator or Startup Hub
Network 20/20's website
LinkedIn
Recommended by a colleague/friend
Academic Instution
Browsing the internet
Other
Please select one option
Family Residing in the U.S.
*
Yes, I have close family members residing in the U.S.
No, I do not have close family members residing in the U.S.
Other
If yes, please also check the "other" checkbox and include the name of your family member and city/state (Example: John Doe – Chicago, IL)
Have you traveled to the U.S. before?
*
Yes, I have traveled to the U.S. before.
No, I have not traveled to the U.S. before.
Other
If yes, please also check the "other" section and indicate the duration; when did visit take place month/year; purpose of the visit
What is your highest level of education?
*
Only select one - High school, Bachelor, Master
Name of University, City
*
What is your Major/Field of Study?
*
example: IT Management, finance, agriculture
Current Year of Study
*
Press ctrl or ⌘ (in Mac) while clicking to select multiple options.
Select options
First
Second
Third
Fourth
Fifth
If graduated, see below question
When did you graduate?
Please indicate month/year
Awards and Honors
List any awards, formal academic recognition, or other certificate of achievement. (Please add multiple lines if needed)
Emergency Contact Name and Relationship
*
Example: John Doe, Father
Emergency Contact Phone Number
*
Please include country code
Internship or volunteer experience
Please add additional experiences below
Memberships in Associations, Clubs, etc., if not included in internship and volunteer experience
Please add additional experiences below
LinkedIn Profile
Select of areas of greatest interest (Up to three sectors should be selected)
*
Agriculture
Artificial Intelligence
Augmented Reality
Consumer Products and Services
Cryptocurrency
Education
Energy
Entertainment
Environment
Financial Services
Fintech
Healthcare
Human Resources
Lifestyle and Wellness
Logistics and Transportation
Manufacturing
Marketing and Advertising
Retail and E-commerce
SasS Software
Security
Other
Up to three sectors should be selected
Why do you want to start a venture?
*
If you already have started a venture, what impact do you want to see your venture creates?
Do you have any entrepreneurship training (formal/informal education, or practical experience)?
*
Tell us how your personal experiences have influenced your professional and personal ambitions to become an entrepreneur.
*
Do you have a business idea (profit or non-profit) that you want to launch and how will it improve the economy. How do you expect this venture will affect your community? If you do not have a specific idea, please think of a challenge in your community that you feel passionate about. What skills would you need to develop in order to address and potentially resolve this challenge?
*
Why do you want to become an entrepreneur?
*
In what stage of development is your idea?
Select an option
Ideation (you have an idea for which you have not have done any market research/customer discovery/or you don't know how to move forward)
Pre-seed (you have done some market research/spoken to potential customers/are close to product-market-fit)
Business model & MVP (you have completed the above and have an early "prototype" of your product or service/ have developed a business model)
Existing clients/revenue/ and team (your venture has clients and it has a product/service that is bringing in revenue)
Common European Framework of the Reference for Languages (CEFR)
What is your English proficiency level?
Select an option
Excellent
Good
Fair
Poor
Please submit along this completed application one letter of recommendation from someone who knows you well and can attest to your personal, academic, or professional experience and ambitions
*
Please send as .doc or .pdf file
The BOLD Program includes in-person and online workshops that will take place in the Spring prior to the trip to the United States. If you are selected for the fellowship, will you be able to commit and attend the mentioned segments of the program prior to the visit to the United States?
*
Yes
No
The BOLD Program includes a visit to the United States towards the end of the summer of 2020. If you are selected for the fellowship, will you be able to commit to a five week program in the United States?
*
Yes
No
If selected to the BOLD Program, I understand that I will be part of a diverse cohort with a multi-ethnic and multi-religious background
*
Yes
No
If selected to the BOLD Program, I will participate at all of the virtual sessions taking place from February 6 until March 31, and travel to the U.S.
*
Yes
No
If selected to the BOLD Program, I will participate at all of the post-travel activities, including the Demo Day taking place 1 month upon return.
*
Yes
No
If selected to the BOLD Program, I will complete all of the requested surveys and forms in a timely manner.
*
Yes
No
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