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MIDEAST CREATIVES

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Disrupts
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Disrupt!/Media!/ Registration

Disrupt!/Media!/

You can register here to sign up as an individual or as a team. Responses accepted in English, Arabic or French.

Name:*
FirstLast
Birth Date (dd/mm/yyyy):*
Governorate‏:*
Phone Number:*
Email:*
Facebook Profile:
Twitter Profile:
About You
What is your educational background?*
What is your current job or studies?*
Have you, or are you currently running a start-up/business?*
- Yes
- No
What is the name of your business and what is your role?*
Have you ever participated in acceleration programs or entrepreneurship related trainings?*
- Yes
- No
Which one?*
Share with us something you are passionate about:*
Do you have a team?*
- Yes, I am applying representing a team
- No, I am applying individually
Including yourself, how many team members in total do you have?*
- 2
- 3
If you are part of a team what is your role in the team? Tell us about your expertise or the value you bring to the team. If you work alone tell us about your expertise?*
Teammate information
Teammate 1
Name:*
FirstLast
Birth Date (dd/mm/yyyy):*
Governorate‏:*
Phone Number:*
Email:*
What is their role in the team?*
Teammate 2
Name:*
FirstLast
Birth Date (dd/mm/yyyy):*
Governorate‏:*
Phone Number:*
Email:*
What is their role in the team?*
Idea
What is your business idea?*
What was the inspiration for your idea?*
Does it address a specific problem or need? Please explain in more detail.*
How far are you in developing your idea?*
Who is your target customer/audience/user?*
How can it be sustainable (how does it make money)?*
What can Disrupt do for your business idea? What are your expectations?*

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