Thorn Prize Stage 2: Written Application Thorne Prize for Social Innovation in Health or Education Stage 2: Written Application The Thorne Prize for Social Innovation in Health or Education is a $25,000 cash prize awarded to the best student-led venture focused on social innovation in health or education. The prize will be awarded in the spring of each year to support a student or group of students beginning or continuing to develop a social enterprise or innovation focused on health or education. Title of the Idea: This application is to be completed and submitted as part of Stage 2. There are two easy steps to complete your Stage 2 Application submission: (1) complete the Entry Agreement Form and (2) complete this Stage 2 Written Application. If you already submitted your Stage 1 Letter of Intent and the Entry Agreement Form, then you only have to complete the Stage 2 Written Application. Please complete all relevant information below. Submit by e-mail to the program administrators. To submit, please save this file as [Title of the Idea]_Thorne Prize_ Round 2_[Date].doc and the Entry Agreement as [Title of the Idea]_Thorne Prize_ Entry Agreement_[Date].doc and then e-mail it to Martin Klein (firstname.lastname@example.org) by 11:59PM EST on March 28, 2016. Contact Information A. Project Leader: Address Street: City/town: Phone: B. Project Team: State: Email Zip: Thorn Prize Stage 2: Written Application Name: Phone: Email Affiliation: Name: Phone: Email Affiliation: Name: Phone: Email Affiliation: Name: Phone: Email Affiliation: Description of the Venture – To Be Kept Confidential A. Short Description of Your Idea (50 word max) B. Summary of the New Venture (500 word max) C. Justification of the Originality of the Venture and Competitive Advantage – Are There Other Firms That Have Identical/Similar Products or Services (1,000 word max) D. Description of the Status and Stage of the Venture – What Have You Learned So Far? (250 word max) E Next Steps to Establish the Organization or Bring the Product to Market, Including Key Milestones for the Next 12 Months and an Overview of Operations (1,000 word max) Other Information – To Be Kept Confidential Thorn Prize Stage 2: Written Application A. Description of the Health or Education Challenge Your Organization or Product is Attempting to Address. What Health or Education Benefits will be Created. Who is the Target Population Is (500-1,000 words) B. Description of the Project Team, Partners and Collaborators (500-1,000 words) C. How Will the $25K Prize Money be Utilized – Include Five Years of Financial Projections: Income Statement and Balance Sheet and Impact Evaluation Plan (2 page max) D. Do You Have any Secured or Pending Funding Sources Other Than the Thorne Prize? If so, List Funding Source Names and Requested Amounts.