M-Lifestyle Feature Inquiry Form
Fill in the form to nominate someone you think is young, brave and influential.
* Required
Candidate's Name
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Your answer
Candidate's Date of Birth
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MM
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DD
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YYYY
Candidate's Location
*
Your answer
Candidate's Email Address
*
Your answer
Candidate's Phone number
*
Your answer
Area of study or expertise.
*
Your answer
Academic or Entrepreneurial Pursuits:
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Your answer
What makes this person/group brave and influential:
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Your answer
What challenges has this person/group undertaken:
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Your answer
Brief Biography (no more than 7 sentences):
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Your answer
Tell us about your community projects & impact
Your answer
Links to publications and/or websites:
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Your answer
What part of your story can resonate with our audience?
*
Your answer
Submit
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