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Dear applicant,

This is the registration form of the TASKFORCOME Social Impulse Academy. The Social Impulse Academy aims at promoting start-ups and initiatives with a lasting impact on the community.

Please fill out the form carefully for the registration.

Contact Ms. Polakova (academy@socialimpulse.de) for more information.

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* 1. First Name

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* 2. Surname

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* 3. Your age

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* 4. Your gender

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* 5. What is your place of residency?

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* 6. Your E-mail

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* 7. Your phone number

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* 8. Your nationality

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* 9. What is your highest level of education?

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* 10. What is your level of German language?

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* 11. What is your level of English language?

Thanks! Let's talk about your motivation.

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* 12. Why do you want to take part in the ‘‘Social Impulse Academy ’’?

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* 13. What are your expectations from Social Impulse Academy?

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* 14. In your view, what are your reasons to START your own business:

  Strongly Agree Agree I dont know Disagree Strongly Disagree
Personal responsibility
Self-determination (working hours, place of work, division of tasks)
Better use of my own skills
Implementation of my own ideas
Opportunities for higher income
Labor market situation
In the mood for adventure and challenges
Would like to make this world a better place
Higher level of freedom and working flexibility
Lack of professional prospect in my field
Great. Now there is part about the training itself.

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* 15. Have you already considered to start a business yourself?

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* 16. Have you already taken a training course about entrepreneurship?

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* 17. Which language you prefer to have the training in?

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* 18. Which topics would you like the training to cover?

Awesome! Thanks for you input.

T