Speaker Nomination Form
Deadline for submission is June 16, 2017
1. Nominee's First and Last Name, Email
2. Nominee's Phone Number
3. If nominating a colleague, please include your name/email/phone# if you would like to be notified along with your nominee.
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
. Production Quality is NOT a factor.
5. Please list the URL of your LinkedIn profile and the URL of 1 other social media handle that best reflects who you are.
6. List the URLs of 3 websites that help us get to know you.
Is there anything else you would like to share with us that will help us get to know you better?
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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