AIXR Diversity Grant Step 1 of 6 - Contact Details 16% Unique IDName(Required) First Last Professional Title/Role:(Required) Organization/Team Name if applicableEmail(Required) Phone(Required)Linkedin URL Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country The following questions should be answered by the project lead / main creator. This helps us to access if you meet the eligibility requirements of the grant and support our diversity and equality reporting as part of the process. Please note: If you choose to answer "prefer not to say" it may reduce your chances of being awarded a grant, especially if it prevents an independent jury from understanding if you satisfy the requirements of the grant.Which age band are you in?(Required)Select an option17 and under18 to 2425 to 3435 to 4445 to 5455 to 6465 to 7475 to 8485 or overSex(Required) Male Female Is the gender you identify with the same as your sex registered at birth?(Required) Yes No Prefer not to say Please Specify(Required) How would you describe your sexual orientation?(Required) Bisexual (attracted to either men or women) Heterosexual or ‘straight’ (attracted to people of the opposite sex) Lesbian or Gay (attracted to people of the same sex) Prefer not to say Other How would you describe your ethnic origin?(Required) Do you have a physical, sensory or mental condition or illness lasting or expected to last 12 months or more? Yes No Please select the options below that most apply:(Required) Acquired Brain Injury Mental health condition (long term) Blind or partially sighted Deaf (Sign Language user) Hard of hearing or deaf Learning disability Long term illness or health condition (lasting more than 12 months or terminal) Mobility impairment Neurodiversity (Autism, ASD, ADHD etc) Severe disfigurement Speech impairment Other Please Specify(Required) What is your current employment status?(Required) Employed full-time Employed part-time Self-employed Unemployed Student Retired Prefer not to say What type of school did you mainly attend between the ages of 11-16?(Required) State-run or government-funded school Private or independent fee-paying school Homeschooled Prefer not to say Other Did you participate in a free or reduced-price lunch program at school?(Required) Yes No Prefer not to say Please add any supporting materials for your background Drop files here or Select files Max. file size: 10 MB. What is your current annual income?(Required) Less than $20,000 $20,000 - $40,000 $40,000 - $60,000 $60,000 - $80,000 Over $80,000 Prefer not to say Do you have any dependents?(Required) Yes No Please specify the number of dependents(Required)Do you currently receive any form of financial aid (scholarships, grants, welfare, etc.)?(Required) Yes No Please specify(Required) Add RemoveOne item per lineExplain why you require financial aid for your XR project. Include details about any financial challenges or barriers you are facing in realizing this project.(Required)Please add any supporting materials for financial aid Drop files here or Select files Max. file size: 10 MB. What category do you intend to nominate for(Required) XR Healthcare Solution of the Year XR Education and Training Solution of the Year XR Utility/Tool of the Year XR Enterprise Solution of the Year The AIXR XR Social Impact Award Rising XR Company of the Year Outstanding XR Company of the Year XR Location-Based Entertainment of the Year XR Marketing Campaign of the Year XR Film and Experience of the Year XR Peripheral of the Year XR HMD of the Year XR Game of the Year XR Content Creator of the Year XR Lifetime Achievement Award Obsidian Award Project Name(Required) Link to project Project Release Date(Required) MM slash DD slash YYYY Briefly describe the project you intend to nominate and why you believe it should be nominated(Required)- Detail how the lack of funds is a barrier to your project’s progress or completion. - Explain your financial situation and the necessity for grant support.Please add any supporting materials for your project Drop files here or Select files Max. file size: 10 MB. How will this financial support will directly impact you and your project(Required)- Explain how receiving this grant will influence your future goals in the XR industry. - Explain how this financial support will directly impact your project and its success.Why You Deserve this financial support?(Required)- Articulate why you and your project deserve this grant. - Discuss your commitment to diversity and how your work will inspire or impact the underrepresented community in XR.Have you previously nominated for the XR Awards?(Required) Yes No Have you previously applied for this grant?(Required) Yes No Terms & Conditions(Required) I agree to the terms and conditions of the AIXR Diversity XR Grant.Accurate Information(Required) I confirm that the information provided is accurate and true. I understand that any misrepresentation will result in the revocation of the grant.GDPR Consent Agreement(Required) I confirm that I have read and understood this consent form and agree to the processing of my personal dataData Collection and Use: I understand that the information I provide in this application, including personal and sensitive data, will be used by AIXR for the purpose of assessing my eligibility for the Diversity XR Grant and for related administrative purposes. Data Sharing: I consent to the sharing of my information with relevant parties involved in the grant assessment process. I understand that this may include members of the selection committee, grant administrators, and other necessary stakeholders. Data Retention: I acknowledge that my personal data will be retained for as long as necessary to fulfill the purposes for which it was collected, in accordance with AIXR's data retention policies and GDPR regulations. Right to Access and Control: I am aware that I have the right to access my personal data held by AIXR, request correction or deletion of my data, and withdraw my consent at any time, subject to legal or contractual restrictions and reasonable notice. Data Protection: I trust that AIXR will take appropriate technical and organizational measures to protect my personal data against unauthorized or unlawful processing, accidental loss, destruction, or damage. Contact: I understand that I can contact AIXR at any time if I have any questions or concerns about how my personal data is being handled. Updates to Privacy Policy: I acknowledge that AIXR may update its privacy policy from time to time and that I will be informed of any significant changes affecting the processing of my personal data. © XR Awards 2024. All Rights Reserved. Terms & Conditions Apply, All tickets are non refundable.