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G4Gn Nomination Form
Please fill out the form once for each person you would like to nominate for G4Gn attendance.
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* Required
Nominated By: First Name
*
For self nominations, please enter "SELF"
Your answer
Nominated By: Last Name
*
For self nominations, please enter "SELF"
Your answer
Nominator Email Address
*
Your answer
All responses after this point refer to the nominee.
Nominee First Name
*
Your answer
Nominee Last Name
*
Your answer
Primary G4G Area(s) of Interest
*
Check all that apply.
Recreational Mathematics
Magic
Puzzles / Games
Science
Skepticism
Novelties / Oddities
Art / Music
Philosophy
Other:
Required
Field of Work/Study
*
Your answer
Email Address
*
Your answer
Primary Website or Video Link
Your answer
Secondary Website or Video Link
Your answer
City
Your answer
State/Province
Your answer
Country
Your answer
G4G Community
*
Please briefly describe how this person will enrich the G4G community.
Your answer
Additional Notes
If there is anything else you would like to share with us about the nominee not covered by the above form, please enter it here. i.e. how you met the nominee, their connection to the magic/math/puzzle/art/science communities, etc.
Your answer
Please click "submit" when you are finished.
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