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➔ First name

➔ Last name

➔ Email

➔ Phone number 

➔ Country (Dropdown choice - Estonia, Latvia, Lithuania)

➔ What is your mission, and what is the challenge you want to address? (max 150 words) 
➔ Why do you qualify for changemaker? (Where do you see your major contribution – new scientific achievements/ influencer/ strong voice in society, policy planning, etc.)
➔ Which of the problems related to sustainability are you addressing? (max 100 words)
➔ What inspired you to work on this challenge, and what motivates you? (max 200 words)
➔ How is your mission translated into your everyday life? (max 200 words)
➔ What impact your work on the challenge will have in 5-10 years? (max 200 words)
➔ What are the main obstacles to implementing your mission’s ideas into life?

➔ Please confirm that you agree to the Baltic Sustainability Awards terms of participation and data privacy policy by submitting this form.

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