CGI U COVID-19 Student Action Fund Application

The CGI U COVID-19 Student Action Fund will identify and support select students at universities around the world who are committed to address the COVID-19 pandemic. Working within the CGI U Commitment to Action model, this fund will provide at least $100,000 in total funding to students, with each grant awarded ranging from $2,000 to $5,000. This action fund is geared towards awareness and prevention campaigns, social enterprises, infectious disease monitoring and response systems, and other emergency response initiatives that are providing immediate support for public health practitioners and other essential workers on the frontlines of the COVID-19 pandemic.

With special thanks to our supporters: Founding Partner, Kevin Xu, and our CGI University Network.

All applications must be submitted by 11:59PM ET on Wednesday, June 3, 2020.

Once you submit your application, you will receive an email to confirm that your application was submitted successfully. Please add [email protected] to your safe senders list. If you have any questions or technical difficulties during the application process, please call 212.710.4492 or email [email protected].

Only those fields marked with an asterisk * are required.

APPLICATION & TERMS:

Eligibility: Students are eligible to apply to the CGI U COVID-19 Student Action Fund if they have previously been accepted to CGI U or if they have never previously been accepted to CGI U; they are at least 18 years of age; and they are currently enrolled in an institution of higher education at the time of application.

Submit your application: We recommend preparing your answers in advance of filling out the application. Note that you will not be able to save your application and return to it at a later point, and your application will time out after 2 hours. If you plan to work with a group of people, only submit one application per project. The person who submits the application will act as the ‘team leader’ and will receive all related communications.

Conditions of Entry: By submitting an entry, student represents and warrants that student’s submission is (a) original; (b) created solely by the credited students; and (c) does not infringe on the intellectual property, privacy or publicity rights or any other legal or moral rights of any third party. Student will retain any intellectual property interest student has in submission. If student is awarded a grant through the COVID-19 Student Action Fund and uses the grant to develop a work eligible for patent or copyright, student will be responsible, as the owner, to apply for such patent or copyright.

By submitting an entry, student agrees to release and hold harmless the Clinton Foundation, its directors, officers, employees and agents from any liability for any and all claims, damages, liabilities, costs, injuries, losses, and expenses (including attorneys’ fees and costs) directly or indirectly arising out of or in connection with student’s participation in the COVID-19 Student Action Fund.

Clinton Foundation is not responsible for computer, software, network, or transmission problems or late, lost, intercepted, or misdirected entries or other submission errors. Clinton Foundation has the right to terminate, cancel, or modify the contest at any time.

Winner Selection: Potential winners will be selected by a panel of judges, including Clinton Foundation staff. Potential winners will be required to complete, sign and return documentation within 10 business days of being notified of their winning status, including but not limited to documentation granting the Foundation a non-exclusive, worldwide, royalty-free, perpetual, irrevocable right and license to use, distribute, edit, publish and display publicly, and otherwise use some, part, or all of student’s submission, for any and all purposes of the Foundation, at any time, with or without advance notification. Potential winners will also be required to identify an appropriate 501(c)(3) entity that will serve as their fiscal sponsor; grant funds will be administered directly to such fiscal sponsor. If a potential winner fails to meet the eligibility requirements or otherwise comply with these terms, fails a confidential background check, or fails to complete the required documentation in a timely manner, or if awarding the grant to the potential winner may reflect negatively on the Foundation (as determined by the Foundation, in its sole discretion), the Foundation reserves the right to disqualify the potential winner and select another student as the winner.

Section I: Personal Information
Full name as it appears on your legal identification: Full name as it appears on your legal identification: First Last
Date of birth: Date of birth: / MM / DD YYYY
Gender:
Preferred Pronoun
Ancestry:
Country of citizenship:
Permanent address: Permanent address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Note that one of the email addresses below should be your school email if possible. We will use your primary email address for all communications.

Primary email:
Secondary email:
Phone:
(no symbols or spaces)
Select your university using the drop down menu below.

Note: If you attend a graduate school or specialized program within a university, provide the name of the university. (Ex.: New York University rather than NYU Medical School)
School name:
(if international or not listed above)
Major or field of study:
University status:
Expected date of graduation: Expected date of graduation: / MM / DD YYYY
Degree status:
Provide a short personal statement that includes details about relevant work/study experiences, and why you want to address COVID-19 (word limit: 250).
Section II: COVID-19 Commitment to Action Details

A Commitment to Action is a new, specific and measurable social impact project that addresses a significant issue. Through the COVID-19 Student Action Fund, CGI U wants you to develop solutions and innovative concepts that specifically address problems that have worsened or developed because of the coronavirus pandemic.
Commitment name:
City, state/region, and country where commitment will be carried out:
When do you anticipate completing this commitment? Please provide a clear timeline for your project:
Commitment to Action: Describe in detail your Commitment to Action. Please include:

• A comprehensive description of your project and the issue and community it will address
• Your key goals and objectives
• Expected timelines
• Strategic partners that you plan to work with
• Your expected outcomes

If you plan to replicate an existing idea or model in a new community, please share why you believe this model will be effective for your beneficiaries and what you may need to adjust to for the area you intend to serve (word limit: 1000).
Maximum of 1000 words allowed. Currently Entered: 0 words.
How do you plan to measure and evaluate the impact of your project? Please outline what benchmarks you’ll use to measure progress towards your expected outcomes and define your short and long-term goals (word limit: 250).
Maximum of 250 words allowed. Currently Entered: 0 words.
Upload a current resume/CV:

No longer than 2 pages

Attach Files
Additional Comments and/or Cited Sources:
Is your application complete?
(You cannot save your work and return to it at a later date. If you do not receive a confirmation email within 24 hours of submitting your application, the application was not properly submitted.)

Is your application complete?
(You cannot save your work and return to it at a later date. If you do not receive a confirmation email within 24 hours of submitting your application, the application was not properly submitted.) My application is complete.
BY SIGNING YOUR NAME IN THE BOX BELOW, YOU ARE CONFIRMING THAT YOU ARE OVER THE AGE OF EIGHTEEN (18), HAVE READ, AND AGREE TO ABIDE BY, THE FOREGOING RELEASES, RULES, TERMS AND CONDITIONS:

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CGI U COVID-19 Student Action Fund Application

CGI U COVID-19 Student Action Fund Application

Section I: Personal Information

Section II: COVID-19 Commitment to Action Details