Radical Collaboration Application

Name (required)	Surname(required)
Industry Sector	Company
Designation	Contact number
Email	Web address
In 100 words or less, tell us why we should accept your application to become a radical collaborator for Sense to Solve
Share something with us that you have seen in the last 3 months that you thought was super clever or highly innovative
Using no more than 10 words, please provide the text you would like us to use to introduce you to clients.
Please provide a short bio – 250 words max and a photo of you that we can use on our web site and on other marketing material.
List your top 5 achievements, awards or accolades
Are you prepared to sign a non-disclosure agreement? YesNo
Are you prepared to allow us to publish your details on our web site and on other social media and marketing channels? YesNo
How much notice would you be likely to need in order to attend a radical collaboration session? 1 week2 weeks1 month2 months or more
Please indicate your hourly rate (should we for example want to conference you into a session. R450 – R950R950 – R1,300R1,300 – R,2000R 2,000 – R3,000 or more
Please indicate your daily rate R4,000 – R9,500R9,500 – R15,000R15,000 – R 20,000R20,000 – R30,000 or more
Please make a note of anything else that you would like us to consider from a financial perspective