Full Name :

Organization :

Position in Organization :

Pick or Choose a UN SDG to promote : Choose from drop down 1 2 3 4

State any other goal you will promote :

State either ten challenges, opportunities or issues that concern the goal :

Record and upload a 5-10 minute video

Purpose of the goal : Choose from drop down a. Create awareness about the goal b. Galvanize for action to be taken c. Raise resources to achieve the goal

Preferred date for the challenge :

Intended target beneficiaries of your campaign : Choose from drop down a. Individuals b. Community (specify the community) c. Organization (specify the organization) d. Government (specify the government)

Choose preferred country for the in-person Goals Challenge: Choose from drop down a. Nigeria b. Ghana c. Kenya d. South Africa

Indicate preferred venue for in-person GC Choose from drop down a. Office (with staff, colleagues, clients as spectators) b. Home (with friends, admirers and relations as spectators) c. OPiALiZER TV Show studio d. Open public space like park or stadium

Twitter Account :

LinkedIn Account :

Instagram Account :

Facebook Account :

State number of dignitaries that will join you in the Goals Challenge: