TEDxPeachtree 2017
Speaker Nomination Form


Deadline for submission is June 16, 2017

Email address
1. Nominee's First and Last Name, Email
Your answer
2. Nominee's Phone Number
Your answer
3. If nominating a colleague, please include your name/email/phone# if you would like to be notified along with your nominee.
Your answer
4. Record and send us link to a 60-second video explaining your idea (your nominee's idea) and why the TEDx community must know about it. Suggestion: upload video to YouTube, set it to "unlisted" then add the link here. OR email the file to info@tedxpeachtree.com. Production Quality is NOT a factor.
Your answer
5. Please list the URL of your LinkedIn profile and the URL of 1 other social media handle that best reflects who you are.
Your answer
6. List the URLs of 3 websites that help us get to know you.
Your answer
Is there anything else you would like to share with us that will help us get to know you better?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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