AFI Forum 2019: Influencer Interest Form
***Interest Form for Influencers***
The 8th AFI Annual Forum, the annual flagship event of Action For India, will bring together 100 leading social entrepreneurs and 100 influencers (donors, investors, IAS officers, technology executives, policy analysts and many more experts from various fields ), for a two-day immersive experience at the Indian School of Business, Hyderabad on 8th & 9th November, 2019.

We are extending an exclusive invitation for you to submit your interest and indicate your availability to join as one of the 100 influencers and engage yourself in conversations, discussions, deliberations & networking opportunities with the 100 leading social entrepreneurs of India.

Please confirm your interest to be an Influencer by sharing your details below. This will help us make the Forum and interactions thereof fruitful for all.

The first deadline for submitting the application form is 23rd September 2019. Applications will be evaluated and selected on a rolling basis.
First Name *
Your answer
Last Name *
Your answer
Organization *
Your answer
Designation *
Your answer
Email address *
Your answer
Contact Number *
Please provide mobile numbers as it will greatly help in logistics and during emergencies
Your answer
City travelling from *
Your answer
I would be attending the AFI Forum 2019 on: *
Have you attended Action For India Forum before? *
The following information will help us to understand your profile better:
Have you worked with social entrepreneurs before? *
If you answered "Yes" to the previous question, state the number of organisations you have worked with. *
Your answer
Which 'Influencer Category' would you associate yourself with? *
Required
What is your area of expertise? Please indicate those where you could provide assistance to Social Entrepreneurs. *
If you chose "Other," please provide specific details
Required
Describe your prior experience of engaging with social entrepreneurs. (If you have not interacted with social entrepreneurs before, mention how you wish to use this platform to connect and engage with them.) *
Please limit your answer to 200 words.
Your answer
Please share your brief profile. *
Please limit your answer to 200 words.
Your answer
Please share the link to your Linked-In profile
Your answer
Please indicate any other website link
Your answer
Would you be interested in engaging with AFI & the social entrepreneurs you meet, beyond the Forum? *
List additional Influencers
Please support our efforts in building a stronger ecosystem by referring influencers who may want to participate. Please include their name, organization, e-mail id and phone number of influencers in your network. (Please try to share at least 3, thanks!)
Your answer
Please suggest 3-5 Social Enterprises you believe should attend the AFI Forum 2019
Please provide Organisation Name and Contact details.
Your answer
If you have attended a previous AFI Forum, please share what you liked and what we can do to improve your experience (you may suggest any ideas for the agenda of the conference)
Please explain in 100 words
Your answer
Which similar conference has impressed you and what did you like about it?
Based on similar social entrepreneurship conferences you attended in the past 2 years, please explain in 100 words.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Action For India. Report Abuse - Terms of Service