Nomination form
Congratulations on your nomination!
We will invite you to a Neonseeds fellowship gathering once you filled out this form.

Do have your nomination code ready (if you haven't received it yet, ask the fellow that nominated you or email

Our gatherings inquire into somewhat radical topics and are facilitated by the fellows. They invite courageous leaders in these areas to join us – both to hear their insights and see how we might be able to support them.
Email address *
What's your nomination code? *
Your answer
Full name *
Your answer
Title and Organisation *
Your answer
Email address
Your answer
Location (City, Country) *
Your answer
Link to Website or LinkedIn *
Your answer
Will you respect our principles? (If so, tick all.) *
Which gathering do you want to commit to make? (So we can send you the right Zoom invite.) *
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