East African Farmer Innovation Fair (EAFIF) 28Th to 29Th May 2013

Inspiring Agricultural Change: Sharefair on Rural Women's Technologies Young Scientist Innovation Award Entry Form Name(s) of student(s) – indicate Male/Female Course and institution enrolled in. (Kindly provide proof of enrollment) Country Brief profile of the individual or group of young scientist(s) Telephone: Name and contact details E-mail: of lead contact person Physical location: Postal address: Which category would Innovations and technologies benefiting women smallholder you like the submission farmers to be entered for: Innovations and technologies benefiting Persons With Disabilities indicate as appropriate. (PWDs) who are engaging in smallholder farming Brief description of the innovation/technology (Describe what it is) Background of the innovation/technology: how and why was it created and what was the process involved. What is the status of the innovation? Is it a prototype of is it complete, has it been patented? Explain how this innovation/technology specifically benefits the target group. What does the  Enhanced food security  Climate change adaptation technology address  Improved family nutrition  Value addition (please tick Box(es) as appropriate):  Increased productivity  Affordable technologies  Improved income generation  Reduced postharvest loss

 Labour and time-saving  Other (please explain)

Attach or upload photo/photos of the technology (as jpeg or tif or png or gif ) List any evaluations, assessments or reviews of the innovation and provide a link if available. Has the innovation been presented before? If yes, when/where? Location where the innovation/technology is used (Village, district/County) Is this technology/innovation adaptable to different contexts than where it was created? Please explain as appropriate Is the innovation currently being used by anyone? Who? Where? If selected, are you willing to participate and present the innovation/technology in the Sharefair? Aside from this award, have you submitted your innovation/technology for any other competitions/awards? **NB**Please indicate if you have submitted this innovation for consideration in the broader Sharefair (separate application form. Any other relevant information

To submit your application, complete this entry form and send to: [email protected]