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2020 NEXUS USA Application

*Only fields with a red asterisk are required to be completed*
PERSONAL DETAILS










CONTACT INFO 


Primary Mailing Address














SOCIAL IMPACT PROFILE


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ACCELERATE IMPACT WITH NEXUS
NEXUS is engaging select financial institutions around better aligning money & values with impact.  Interested in collaborating to advance social change through investments? If YES, answer the below.

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REFERENCES
To help ensure the integrity of the NEXUS network we ask delegates to provide at least one reference. This can be a personal or a professional reference.
Reference





LET'S GET SOCIAL







YOUR PHOTO
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NOMINATIONS
Strong preference is given to Applicants who include nominations of family members, friends or colleagues that you believe share the NEXUS Spirit, fit the NEXUS criteria & will add value or find value in joining NEXUS. 
Nominee








NEXUS USA Summit Fees
- General Registration - $1699 - Late Registration -$ 1899 
NEXUS COMMUNITY CODE OF CONDUCT
Check the boxes below to agree that you will uphold our Code of Conduct.




Special Accommodations - NEXUS is committed to hosting summits that offer accessible environments for all delegates. Please email EboneG@NEXUSGlobal.org as far in advance of the summit as possible with any specific accessibility or accommodation requests.  We are a non-profit with financial restraints, but will do our best to meet your needs.
HAVING DIFFICULTY SUBMITTING THE FORM?
PLEASE SCROLL UP AND COMPLETE ALL REQUIRED FIELDS, MARKED WITH AN ASTERISK OR HIGHLIGHTED IN RED.  If you are still experiencing problems email info@nexusglobal.org.

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