Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which of the UN Sustainable Development Goals does your project address? *

(Tick all that apply. If you don't know about the UN SDGs head to www.sdgs.un.org/goals)

Goal 1: No Poverty

Goal 2: Zero Hunger

Goal 3: Good Health & Wellbeing

Goal 4: Quality Education

Goal 5: Gender Equality

Goal 6: Clean Water & Sanitation

Goal 7: Affordable & Clean Energy

Goal 8: Decent Work & Economic Growth

Goal 9: Industry, Innovation & Infrastructure

Goal 10: Reduced Inequalities

Goal 11: Sustainable Cities & Communities

Goal 12: Responsible Consumption & Production

Goal 13: Climate Action

Goal 14: Life Below Water

Goal 15: Life on Land

Goals 16: Peace, Justice & Strong Institutions

Goal 17: Partnership for the Goals

By submitting this application, I indicate that my team and I: *

Please tick all boxes to indicate your agreement

Have at least one South Australian based team member..

Have read the Information Session slide deck

Understand that the Heaps Good Hustle Incubator requires my commitment for at least 8-10-hours per week for 10-weeks

Will commit the time and energy to participating as fully as possible to the Incubator Program.