Academic Partner Application Application

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ABOUT
PARTICIPATION
Programs
COLLABORATION
- Educational Institution Collaboration Pathway
- Innovation & Research Pathway
Impact

Academic Partner Application (Principals/Teachers/Professors)

Section A — Applicant Details

Full Name(Required)

Date of Birth(Required)

DD dash MM dash YYYY

Gender(Required)

Designation(Required)

Institution Name(Required)

Institution Type(Required)

City & State(Required)

Country(Required)

Section B — Education

Highest Education(Required)

Diploma

UG

PG

PhD

Years of Experience(Required)

0–2

3–5

6–10

10+

Section C — Contact

WhatsApp Number (Phone)(Required)

Email Address(Required)

Enter Email Confirm Email

Section D — Fold-1 Foundation

Are you already a Fold-1 participant?(Required)

Yes

No

Your Unique Kalpdroom Code(Required)

Fold-1 Registration Name (as used in registration)(Required)

Fold-1 Registered Mobile/Email (match your record)(Required)

Fold-1 Start Preference(Required)

Section E — Institutional Intent

Primary Objective(Required)

Student focus & discipline

Student wellbeing support

Parent awareness

Teacher wellbeing

Campus leadership & culture

Other

Expected Reach (approx.)(Required)

What would you like to enable in your institution? - Short Note(Required)

Preferred Language(Required)

Section F — Ethics & Consent

Culture Lock Agreement(Required)

I follow No Pressure

I follow No Promises (no guarantees/clinical claims)

I follow Respect & Consent (privacy/dignity)

Institutional Consent(Required)

I confirm I am applying in a professional capacity and will follow approved communication.

Data Consent(Required)

I consent to be contacted by Yujom® team for verification and onboarding.

Section G — Reference (Optional but Recommended)

Reference Full Name

Reference Phone Number

Reference Relationship

I confirm that I have informed the reference person before sharing their contact details.(Required)

I confirm that I have informed the reference person before sharing their contact details.

Section H — Submit

Signature / Full Name as Agreement

ABOUT
PARTICIPATION
Programs
COLLABORATION
Impact

ABOUT
PARTICIPATION
Programs
COLLABORATION
- Educational Institution Collaboration Pathway
- Innovation & Research Pathway
Impact
-

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