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2019 NEXUS Global Summit Application

We invite you to share as much information about yourself as possible in the application below, so we can curate a meaningful Summit and experience for you. Thank you!

ONLY QUESTIONS WITH A RED ASTERISK REQURE RESPONSES













*Preference is given to those under the age of 45, though applications of people of all ages are considered.

References - Who gets to vouch for how amazing you are? (A minimum of one reference is required)




Your Primary Mailing Address








Let's Get Social - Please share your social media profiles.







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Nominations
Applications with nominations listed receive special attention in the review process.
Please share names and email addresses of one or more family members, friends or colleagues that you believe would add value or find value in joining a NEXUS Summit. You can also "Pay it Forward" and sponsor the registration cost of your nominee(s), if they are accepted.









Your Photo:

NEXUS COMMUNITY CODE OF CONDUCT
Please check the four boxes below to confirm that you have read & agree to uphold each of them.




***IF YOU RECEIVE AN ERROR COMPLETING THIS FORM Pleases email info@nexusglobal.org with specifics of the error for help

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