Student Innovation Fellows Interest Application • Student Innovation Center • Iowa State University

Name*

First Last

I am a...*

College Affiliation*

Major(s)*

Graduation Year*

Phone*

Email*

We promote and support diversity of our community as a key component of innovation. We invite you to share your connection with any historically excluded populations.

Helping us identify mentors for you

What is your interest in innovation? What specific area of innovation interests you

Civic innovation—building and facilitating change in community life for family’s children, schools, elderly or workers

Social innovation—identifying, promoting, defining beliefs and culture in a way that changes how people live and work

Innovating within a business—building products, services, systems, or processes within a business as part of strategic growth

Creating prototypes or products or new technologies to solve problems or address gaps

Solving problems through research and science

Innovating in the public sector—government, non-profit, advocacy agencies, industry-related organizations

Creating new forms of communication that reflect on culture and build human connection—Visual, Written, or Performing Arts

Other

If Other, please describe:

Personal Statement

What would you expect as benefits of your participation in this program? How might you apply and leverage what you learn? Why does innovation interest you personally and professionally?*

Phone

This field is for validation purposes and should be left unchanged.

Have questions about the Innovation Fellows?

Contact Karen Kerns

Director of Innovation Programs, Student Innovation Center kpiconi@iastate.edu