Impact Africa Summit 2019
First Name
Last Name
Email Address
Age
Country
YOUR IDEA
:
SPARK
: Tell us about that moment in your life that made you start something to change things for the good of others?
What problem or issue sparked your idea?
Describe how the problem affected you. How old were you? Who else was there to help/support you (like a parent/teacher/friend)?
(250 words)
IDEA
:
What was the idea you had to tackle the problem?
Describe how you went about putting your idea into action. What were the challenges and setbacks you faced? (Be sure to include failures. That is how we all learn!) How did you go about overcoming them and who helped you?
(250 words)
TEAM
:
How did you build a team to make your idea come to life?
Who are your team members and what do they do? Who else have you involved in your initiative? Describe any other key allies and/or supporters who helped out
(250 words)
IMPACT
: Tell us about the change you and your team made happen.
Describe one or two people who benefited from your idea.
Do you remember something interesting that someone said about your work?
(250 words)
How long has the organization/ initiative been running for
?
Please select...
Less than 1 Year
1 Year
2 Years
More than 2 years
Video/ Photos of your Work
Upload photos here:
Share video links here (Youtube/Vimeo/ Other):
Check to receive news and updates from Impact Africa (Ashoka and/or British Council. (Opt in)
Optional Additional Fields - DO NOT DELETE
The fields below can be dragged up and used in your form if helpful
Else they can be left alone and will remain hidden.
Do not
repurpose these fields for unrelated / new purposes - create a new field instead!
These fields are already 'mapped' to the corresponding fields on the campaign member in salesforce which makes everything easier and faster.
Provided Org Type
Provided Country
Provided City
Provided Title
Provided Phone
Additional Needs
Source (how you heard about event)
Category (free text for ad-hoc groupings)
Notes
System Fields - NEVER EVER DELETE THESE
if you delete these fields, things will break, and you may need to rebuild your form.
dont say we didnt warn you!
Required Fields
Site Language for resubscribe
Please select...
English - EN
Spanish - ES
German - DE
French - FR
Italian - IT
cm status calc
this value is used in event campaign member status mapping. we can update the variable values in build - do not need to go into the connector anymore!
use
\u0020 for spaces
Optional Fields - Required For Confirmation Email
Dotmailer Address Book SFDC ID
Dotmailer Email Campaign DOTMAILER ID
NOT SFDC ID - THE DOTMAILER ID
dotmailer campaigns used for confirmation must be set as triggered campaigns, and must not contain social share / forward links (and a few other types).
See here for more details.
internal note - if user wants to include response alias in dotmailer notification, we need to modify the connectors manually at present.
Optional Fields - Required If Including Opt In
Confirmation Form base URL
required - this form is used to complete the double opt in process.
must clone generic DOI Confirmation Form and update the URL here.
Double Opt-In Email Language
Please select...
en
es
de
site language iso controls the language of the double opt in email. currently the text of the opt-in email cannot be altered, just the language.
Double Opt In Newsletter List
Please select...
AL_Albania
AR_Argentina
AT_Austria
BE_Belgium
BR_Brazil
CA_Canada
CH_Switzerland
CO_Colombia
DE_Germany
EG_Egypt
ES_Spain
FR_France
FR_France_Main
GB_UK
ID_Indonesia
IE_Ireland
IN_India
IT_Italy
JP_Japan
KE_Kenya
KR_South Korea
MX_Mexico
NG_Nigeria
NL_Netherlands
PA_Panama
PH_Philippines
PT_Portugal
PY_Paraguay
SG_Singapore
TR_Turkey
US_US_AshokaUpdates
US_US_Trigger
US_US_USNewsletter
UY_Uruguay
XB_US_SolutionsBrief
XU_AshokaU
XY_Youth Venture
iso site country on webcontact controls which list the subscriber is added to when completing double opt in
Contact Information