1. Game Name:
2. Game URL:
3. Game Developer:
4. Non-profit involved?
No
Yes:
5. Academic Partner?
No
Yes
 
6. Date of Game Release:
7. Project Lead's Name:
8. Funding Sources:
9. Sponsors/In-kind donations:
10. Budget
Overall: $
Secured: $
11. Brief Description:
(3 sentences about the game)
12. Full Description:
13. Target Audience:
14. Category/Issue: What social issue(s) does your game address?
(Check as many as apply, and please suggest additional categories)
Environmental
Global Conflict
Poverty
Domestic Issue
Millennium Development Goal
Public Policy
Other:
Political
   
15. Purpose of Game:
(Include theory of change: What impact are you aiming for?)

16. Metrics

How are you measuring results?

What outcomes have you measured?

17. What help do you need? (Check all that apply)

Funding
Sponsors
Publishing
Distribution
Programmers
Designers
Interns
Other
Other:

 

 
18. Press Coverage:
(URLs or citations)
19. Press Release URL:
20. Are you coming to the 2007 Games for Change Festival?
Yes
No

21. Would you like your game to be considered for the: (Check all that apply)

Game Blast (20-30 minute workshopping)
Expo (brief description -- SS)
Award Ceremony (categories still under consideration)
22. Contact Information
General Information
Name:
Email:
 
Press Contact
Name:
Email:

23. Images
Please submit 1-3 promotional images or screenshots from your game. (Games for Change may use these images on our website and/or in publicizing the Games for Change Festival.)

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For Internal Use Only
In addition to the contacts above, please provide detailed information to help Games for Change stay in touch with you. This information will not be made public or shared with any third party.
Name:
Email:
Address:
City:
State:
ZIP/Postal Code:
Country: