MCNx Event Application Form
Applying for an MCNx License is the first step toward organizing your own MCNx Event. Fill out and submit the form below. The information you provide will give MCN an understanding of the event you have in mind.

Event planning is often unpredictable (trust us, we know!) so we expect some of the details you’ll provide in this application to change. You will have the opportunity to update your event info once MCN grants you the License. Insufficient information will result in a denial of your application.

If you would like to discuss your ideas for your MCNx event before you apply, email us at: mcnx@mcn.edu
Tell us about you, the Organizer
Organizer First name: *
Organizer Last name: *
Title or role: *
Organization name (if applicable): *
Describe the organization:
Website: *
Address 1: *
Address 2:
City: *
State/Province: *
Zip/Postal code: *
Country: *
Main phone number: *
Email: *
Who do you want to be named as the official Organizer/License Holder? Yourself (individual) or Your Organization (entity)? *
Check one:
Name of co-Organizer:
If applicable
In order to organize an MCNx Event, you must have previously attended at least one MCN Annual Conference. Indicate which MCN Annual Conference(s) you attended (year and location): *
What inspired you to organize an MCNx Event? *
What are your goals for hosting the Event? What do you hope to get out of it? *
Have you ever attended or helped organize an MCNx Event? *
If yes, please comment:
Event production and affiliated organizer(s)
Name any affiliated organization(s) that will lend resources or infrastructure to help produce the Event:
This can include sponsor(s) or venues or any other entity
Tell us about your MCNx Event
Event name: MCNx [location]: *
What’s the Event proposed date? *
Date can be tentative but ONLY between December 1 and July 31.
What's the Event location? *
Tell us about the Event venue: *
Tell us about your local community and target audience: *
How many people are likely to attend? *
What's the Event expected duration? *
How do you plan on managing registration? *
Tell us about the Event program
What theme do you propose for your Event? *
What format do you propose for the Event program? *
Examples: brief inspirational talks, conversations, interviews, deep dive, panel discussions
How many speakers to you plan to include? *
How do you plan to recruit speakers? *
Tell us about the diversity of your speakers: *
Speakers and discussions shall include a range of voices and perspectives. The Organizer is encouraged to provide opportunities for Speakers from traditionally underrepresented and minority backgrounds.
Guidelines
I will not allow sponsors to influence my MCNx Event content or present on the MCNx stage. *
Required
I agree to the terms and conditions of the MCNx License Agreement. *
Required
I have read and understood the MCNx Guidelines and understand that if my license is approved and I do not abide by these Guidelines, that my License will be revoked and I will be prevented from applying for a new license for one year. *
Required
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