Nutrients For All: Supplementary Entry Form

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Nutrients For All: Supplementary Entry Form
Congratulations! Your entry has been selected by Ashoka as a top solution in the Nutrients for All competition.
Thank you for your participation in the peer review, which has advanced your entry to the next stage of the competition,
the secondary entry. This form is intended to give you the opportunity to enhance your initial entry and provide the
competition judges and the Changemakers community with more information about how your solution is catalyzing a
transformation to a "Nutrients for All" world.
Peer Review Reflections
Reflect upon your peer review experience by rating your level of agreement with the following statements. Your
responses will inform subsequent efforts by Ashoka and our partners to connect and cultivate bonds among
participants.
1. Name of entry or project reviewed
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I felt capable of offering constructive feedback based upon my own work and experience
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I was impressed with the quality of their product or service.
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I saw close alignment between my work and their work
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I feel that we are working towards the same broader goals
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If given the opportunity, I would participate in a roundtable discussion with this entrant
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I would consider bringing on this entrant as a partner in the delivery of my own goods and services
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I feel confident that this solution will be part of a "Nutrients for All" World
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I would be willing to review additional entries if I knew that I’d get similar feedback or exposure for my own work
Choose an item.
2. Name of entry or project reviewed
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I felt capable of offering constructive feedback based upon my own work and experience
Choose an item.
I was impressed with the quality of their product or service.
Choose an item.
I saw close alignment between my work and their work
Choose an item.
I feel that we are working towards the same broader goals
Choose an item.
If given the opportunity, I would participate in a roundtable discussion with this entrant
Choose an item.
I would consider bringing on this entrant as a partner in the delivery of my own goods and services
Choose an item.
I feel confident that this solution will be part of a "Nutrients for All" World
Choose an item.
I would be willing to review additional entries if I knew that I’d get similar feedback or exposure for my own work
Choose an item.
3. Name of entry or project reviewed
Click here to enter text.
I felt capable of offering constructive feedback based upon my own work and experience
Choose an item.
I was impressed with the quality of their product or service.
Choose an item.
I saw close alignment between my work and their work
Choose an item.
I feel that we are working towards the same broader goals
Choose an item.
If given the opportunity, I would participate in a roundtable discussion with this entrant
Choose an item.
I would consider bringing on this entrant as a partner in the delivery of my own goods and services
Choose an item.
I feel confident that this solution will be part of a "Nutrients for All" World
Choose an item.
I would be willing to review additional entries if I knew that I’d get similar feedback or exposure for my own work
Choose an item.
Operating Capacity & Growth
This section will ask you about your current partnerships, operating capacity and plans for growth. This section is
entirely private and will not be displayed publicly.
1. Are you reliant on third party vendors or partners in the delivery of your goods and services?
Choose an item.
2. If so, how is it that third parties or partners contribute to your work?
☐ Provides a foundation for my contribution to the nutrient chain
☐Supplies me with nutrient-enriching inputs.
☐ Purchases the goods I produce.
☐ Connects me to a broader market for my goods.
☐ Processes the goods that I source.
☐ Provides me with data to improve the quality of my sourcing.
☐ Provides me with data to evaluate the quality of my offering.
☐ Implements strategies and technologies that improve the quality of my product.
☐ Publically validates the quality of my product.
☐ Positions my product more effectively to tap consumer demand.
☐ Provides me with data to conduct my research.
☐ Supplies my clients with the nutrient rich foods they need.
☐ Funds my investments
☐ Funds my research.
3. Please estimate the total number of beneficiaries (or customers) you could serve if funding and resources were not
a challenge.
Choose an item.
4. How confident are you in the above estimation?
Choose an item.
5. What percentage of that total number are you currently serving?
Choose an item.
6. Tell us if the following functional responsibilities are staffed by your team.
 Finance & Accounting Choose an item.
 Business Development or Fundraising Choose an item.
 Marketing & Communications Choose an item.
 Programs (i.e. Delivery of your solution) Choose an item.
 Human Resources Choose an item.
 Monitoring, Evaluation, & Research Choose an item.
 Information Technology Choose an item.
 Partnerships Choose an item.
 Strategy Choose an item.
7. What percentage of that total number do you anticipate serving within the next three years?
Choose an item.
8. Full Impact Potential: What are your main spread strategies moving forward? [Please consider geographic spread,
policy reform, independent replication/adoption of the idea or other mechanisms. Responses may outline how to
achieve the idea’s desired impact within five to 10 years.] (Limit 1,000 characters or ~125 words.)
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9. What type of team (staff, volunteers, etc.) will ensure that you achieve the growth suggested above? (Limit 600
characters or ~75 words.)
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10. Have you received funding from any of the following groups?
☐ African Development Bank
☐ Kresge Foundation
☐ Ashoka
☐ Li Ka Shing Foundation
☐ Asian Development Bank
☐ Lilly Endowment
☐ AusAID (Australia)
☐ MacArthur Foundation/Grant
☐ Bill & Melinda Gates Foundation
☐ Manhattan Institute Social Entrepreneurship Award
☐ Calouste Gulbenkian Foundation
☐ Mellon Foundation
☐ Caribbean Development Bank
☐ Nobel Prize
☐ CASE Social Entrepreneurship Awards
☐ Packard Foundation
☐ CIDA (Canada)
☐ Pew Charitable Trusts
☐ DFID (United Kingdom)
☐ Robert Bosch Foundation
☐ Draper Richards Foundation
☐ Robert Wood Johnson Foundation
☐ Echoing Green
☐ Rockefeller Foundation
☐ European Bank for Reconstruction and Development
☐ Schwab Foundation
☐ European Union (Any EU Government)
☐ Skoll Foundation
☐ Fast Company Social Capitalist Award
☐ Starr Foundation
☐ Ford Foundation
☐ Tech Awards
☐ Fulbright Fellowship
☐ TED
☐ Garfield Weston Foundation
☐ United Nations (UN)
☐ Global Fund for Women
☐ United Nations Children's Fund (UNICEF)
☐ Goldman Environmental Prize
☐ United Nations Development Progam (UNDP)
☐ Gordon and Betty Moore Foundation
☐ USAID (United States)
☐ Hewlett Foundation
☐ Wallenberg Foundation
☐ Howard Hughes Medical Institute
☐ Wellcome Trust
☐ Inter-American Bank
☐ World Bank
☐ Inter-American Development Bank
☐ World Food Programme (WFP)
☐ Islamic Development Bank
☐ World Health Organization (WHO)
☐ J. Paul Getty Trust
☐ World Wildlife Fund (WWF)
☐ Kellogg Foundation
☐ None of the above
11. Overall, how prepared do you feel to manage this level of growth?
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12. Please share any additional thoughts related to your capacity and operational growth. (Limit 800 characters or
~100 words.)
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Nutrient Economy
If the initial stages of the entry process were about sharing the details of your work, this secondary stage is about
articulating your work within the context of the Nutrients for All framework. If you haven't done so already, please read
and review http://www.nutrientsforall.org and use those ideas to frame your answers below.
1. How is your product or service connected to vitality for the people and planet? (Limit 1,000 characters or ~125
words.)
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2. People need appropriate nutrients to grow, learn, and fight off disease. How do you measure, track, or make use of
information about nutrient levels in your own work? (Limit 800 characters or ~100 words.)
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3. Considering the flow of nutrients from ecosystems to soil to farms to food to communities, what are the barriers to
achieving vitality for people and the planet?
☐ Lack of tools to measure nutrient value
☐ Lack of awareness of the problem of missing nutrients in landscapes, foods, and people
☐ Lack of connectivity of people across the many fields that are part of the nutrient value chain
☐ Lack of a catalyst for much greater demand for nutrient rich foods
☐ Other barriers you have identified: (Limit 400 characters or ~50 words.)
If other, please elaborate:
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4. In your view, what developments need to happen in order to help overcome those barriers and produce a more
nutrient rich and vital public and planet? This could include anything from introduction of new technologies, to policy
and regulatory change, to creation of new financial instruments, to collaboration among disparate actors. (Limit 1,000
characters or ~125 words.)
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5. What do you consider the most promising trends or evidence that indicates that the developments you described
are emerging? Please elaborate. (Limit 800 characters or ~100 words.)
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Connecting You
Changemakers is on the lookout for ways to better connect you to partners that can help you with your entrepreneurial
passions. Please consider sharing information on the following demographic questions. We guarantee that the following
fields will not be displayed publicly. Learn more about our privacy policy here.
1. Year of Birth
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2. Language Spoken Fluently
☐ English
☐ French
☐ Spanish
☐ Portuguese
Other languages you speak fluently
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3. Gender of Innovator
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4. Ethnicity/Race
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5. Highest level of education attained
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6. Income level in country of residence
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7. Religious affiliation
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