Site Network: Serious Games Initiative | Games for Health | Games for Change | Serious Games Japan


Games for Change Submission Form

Please fill out the following form as fully as possible. (We recommend that you prepare and save all of your information before filling out this form.)


Would you like your game to be considered for the Expo?

Would you like your game to be considered for the Games for Change website?

 
1. Game Name:
2. Game URL:
3. Game Developer:
4. Non-profit involved?
No
Yes. If yes, please provide the name of the non-profit and describe how they were involved.
5. Academic Partner?
No
Yes. If yes, please provide the name of the institution and describe how they were involved.
 
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:
50 words max
12. Full Description:
250 words max
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
Sexual Health
Public Policy
Drugs and Alcohol
Mental Health
Religion & Spirituality
Education
Discrimintation
Political
Other:
   
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
Publicity
Distribution
Programmers
Designers
Interns
Evaluation
Other: (please list)
18. Press Coverage:
(URLs or citations)
19. Press Release URL:
20. Are you planning to come to the 2007 Games for Change Festival?
Yes
No
21. Public Contact Information
General Information
Name:
Email:
 
Press Contact
Name:
Email:
22. What tags would you like to associate with the game?
23. Where does the game currently live?
Where/how can it currently be played?
24. Please submit link to photo with
exact dimensions of: 440x145
(If your photo is not the right size, we may not use it.)
 
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. Ever.
Name:
Email:
Address:
City:
State:
ZIP/Postal Code:
Country:
 

      *A game which engages a contemporary social issue to foster a more equitable, just and/or tolerant society.