Amplify Africa ApplicationPlease fill out this application in order to be considered for the Amplify Africa 2019 experience.Please enable JavaScript in your browser to complete this form.What compels you to travel? What is the longest distance you have traveled?Have you ever visited Africa, and if so, what countries did you visit?Why are you interested in the Amplify Africa experience?Are you interested in being a speaker or leading a workshop? If so, what would it be about?What do you feel you could contribute to the Amplify Africa group?Do you like traveling with others?YesNoDo you speak any other languages? If so, what?If selected, are you able and willing to be out of the country for 14-18 days?YesNoThe estimated cost of this journey is roughly $10,000, excluding airfare. Are you able and willing to cover this to be a part of the experience?YesNoDo you need specific time set aside every day while away to get work done? Wifi can be sporadic in South Africa, how important is this for you or are you thinking of unplugging a bit on this trip?For 2019 we are looking at doing a Mastermind weekend event in the Cradle of Humankind ending in the Women Summit, as well as workshops in Cape Town and a "Women in Agriculture" event in Franschhoek. Will you want to take part in all of these events or will you want minimum commitment during this trip? Will you want your day of events, meetings, leisure activities etc to start before or after 10AM and by what time of the day do you want to be done with a set schedule including dinner?How many days at Leisure would you like during this trip? We will be visiting both sides of the coin, from more luxury to extreme poverty, for example in Johannesburg we will be staying in the heart of the city, far from glitz and glamor, will you be ok with that?YesNoWebsiteSubmit