HARAMBE-CAMEROON APPLICATION 2011

Harambe-Cameroon invites you to participate in its 2011 Social Innovation Competition, with the
support of the Ministry of Higher Education of Cameroon. This will give you the opportunity to
awaken the entrepreneur in you, turn your ideas into concrete projects, Be recognized as a "Harambe
Problem-Solver", meet business leaders, win a competition of 3 million CFA francs, and perhaps
qualify for a scholarship to study at an American university.

Name, First name * ______________________ Date of Birth: ________________ Gender(F/M)

________
Address _________________ Telephone ___________________ Email :
__________________________
University or Institution * ________________________ Field of Study :
________________________

English Level. Written Reading Speaking Comprehension

WE WOULD LIKE TO KNOW YOU MORE

The 4 questions below are for us to know you better. Please respond with full honesty.
1. Describe in less than 150 words a project, an initiative or an organization in which you participated ?

2. What is your passion? Describe it to us in less than 150 words

3. What challenge / crisis / barriers have you had in your life? And how did you manage? (Within 150
words)

4. What problem can you identify in our community, society, nation? And what solution directly
involving you, can you propose to solve it?

IN ADDITION
i. Would you be interested in studying at an American university (1st, 2nd, or 3rd degree),
if you are offered a scholarship?

ii. How do you think your profile might interest Harambe-Cameroon? (Within 150 words)

iii. List 2 references (Name + Relationship to you + Contacts) who will attest to your ethics
and morals. (Other than your family)

Harambe-Cameroon - « Transforming our problems into opportunities!»

Email: cameroon.2008@healliance.org | Website: www.healliance.org | Blog:
HarambeCameroun.blogspot.com
Tel: +237 7013 5705 | P.O. Box: 5787, Yaoundé –Cameroon | Office: Hajal Center,
Yaoundé
 HARAMBE CAMEROON ONE PAGER

TEAM INFORMATION
a. Name of Team ________________________________ Universit(ies) Represented
__________________

b. Provide a list of your 5 team members (Must include at least 2 women).

c. Name of chosen Team Leader ____________________ Tel and Email

_____________________________

d. Name of Team Advisor/coach (Could be Professor, Entrepreneur, or another expert in your chosen
field)

e. What local problem has your group identified? How do you intend to transform that problem into a
business opportunity? How will it generate funds? What will your business enterprise look like in 5
years?

Thank you for taking the time to complete this form. If you are pre-selected, your Group Leader will
receive a response of acceptance in his/her inbox. We hope to count you among Cameroon's 2011
Harambe "Problem-Solvers."

Harambe-Cameroon - « Transforming our problems into opportunities!»

Email: cameroon.2008@healliance.org | Website: www.healliance.org | Blog:
HarambeCameroun.blogspot.com
Tel: +237 7013 5705 | P.O. Box: 5787, Yaoundé –Cameroon | Office: Hajal Center 601,
Yaoundé Page 2