2018 Registration Deadline extended to 20 January 2018 Please fill in this editable PDF form and return it to innovator@adec.ac.ae *What is the title of your INNOVATOR Project? *Indicates Mandatory Field. Please fill out all mandatory fields to give the Innovator Team as much information as possible about your project. *Please select whether you are applying as an individual or as a group: Individual Group Individual Project *Surname/Family Name: * Male Female *Home Address: *Contact Number: *Email Address: *Date of Birth: Innovator is 18 or over Innovator is under the age of 18 Innovators under the age of 18 require adult consent to participate in INNOVATOR 2018: *Name of Adult: *Adult contact number: *Adult e-mail address: Group Project *How many people are in your group? *For groups, provide details of all Innovators in the group: Innovator 1 (Group Leader) *Surname/Family Name:
_ * Male Female *Home Address: *Contact Number: *Email Address: Innovator is 18 or over Innovator is under the age of 18 Innovators under the age of 18 require adult consent to participate in INNOVATOR 2018: *Name of Adult: *Adult contact number: *Adult e-mail address: Innovator 2 *Surname/Family Name: Home Address: Contact Number: Email Address: Innovator 3 *Surname/Family Name: *First Name: Home Address: Contact Number:
Email Address: Innovator 4 *Surname/Family Name: Home Address: Contact Number: Email Address: Date of Birth: If you have additional group members please include them in your email. *Innovator Project Affiliation Project represents an educational institution (such as a university, institute or school) Project represents a business, company or other non-educational organization Project is independent/does not represent any organisation *Contact at educational organisation/ business which project represents: Name: Contact Number: Contact E-Mail: *Please specify the category of your INNOVATOR 2018 Project: Art & Design Automotive, Mechanics & Digital Fabrication Robotics & Electronics Aero Space Sustainability & Life Sciences Other, please specify:
*About the Innovator(s): Max 300 words (for the INNOVATOR 2018 website, signage and program) *Project Description: Max 100 words (for the INNOVATOR 2018 website, signage and program) *Will attendees to INNOVATOR 2018 be able to interact with your exhibit? No Yes, the public will be able to interact with my exhibit in the following way: *What materials will you bring to the Festival to display alongside your exhibit? This should include logistical components (i.e., electrical appliances, digital equipment, etc.) as well as supporting materials (flyers, merchandise, giveaways). Please note that we will only provide a power source, tables and chairs. Describe what your INNOVATOR 2018 display will look like. *Have you entered your invention/project (or any part of it) into any other public competitions/ events/exhibitions previously? No, this is the first time my project has been on public display Yes, my project has been displayed at the below competition/event/exhibition: *How did you hear about INNOVATOR 2018? Radio TV Magazine Website Facebook Twitter YouTube Friend University / Institute / School Work INNOVATOR 2018 Ambassador Other, please specify:
Do you know of any people or organisations that would be suitable to be a part of this project? If so please provide their details below. Surname: First Name: Contact number: Email address: *Please attach any sketches, images, or photos related to your project to assist the Innovator Advisory Panel in reviewing your project. (A minimum of 1 image must be sent with this form) Please only email images which you own or which you have the right to use. Please share any online content (such as blogs, viral content or social media content) associated with you/ your group, or your project): INNOVATOR 2018 takes place on March 2018 in Abu Dhabi, United Arab Emirates. By ticking this box, you confirm you will be available to exhibit your invention on both days of the Festival in Abu Dhabi. INNOVATOR 2018 respects your privacy. We will not share or sell the data you have supplied to us. By completing this form, you consent to INNOVATOR 2018 adding you to its database of Innovators, and to INNOVATOR 2018 and its affiliates contacting you in future regarding INNOVATOR events. By selecting this box I am verifying I have read and will adhere to the INNOVATOR 2018 Guidelines. Guidelines 1.Projects must be a homemade, do-it-yourself creation meaning that the project must have been created by the participant(s) submitting the project. 2.Projects should have an interactive component event attendees should be able to engage and interact with ALL projects at the event. 3.Projects must be completed prototypes (project cannot only be an idea, it must be in the process of being fully built, projects cannot be semi-complete). 4.INNOVATOR 2016 or before participants are eligible to participate in INNOVATOR 2018 (encouraged to enter a new project rather than the same project they showcased in 2016). 5.INNOVATOR 2016 or before projects cannot be re-showcased at INNOVATOR 2018, unless significant improvements/enhancements have been made to the project. 6.Projects can be submitted by individuals or groups.