check

Go All In Fest Form

Click the button below to start filling out the form.

Click the button below to start.

Start

Question 1 of 13

Candidate Name * (First Name & Last Name)

Question 2 of 13

 

Candidate Organization *

Question 3 of 13

 

Candidate Title *

Question 4 of 13

 

Candidate Email *

Question 5 of 13

 

In one or two words, how would you identify your candidate/candidate's work (artist, inventor, author, etc.)? *

Question 6 of 13

 

Tell us about your candidate's great life-transformation ideas in 75 words or less. Guidelines are posted in the go all in fest page *

Question 7 of 13

 

Candidate's short bio - 75 words or less - highlights, please. *

Question 8 of 13

 

Tell us why this candidate an authority to speak on this topic. *

Question 9 of 13

 

One of the key tenets of Go All In Fest/stage is that they are evidence-based. What is the evidence (in brief) that supports this idea?

Question 10 of 13

 

How do you see this idea impacting and being relevant to a wider audience? *

Question 11 of 13

 

Please link to a 60-90 second video of the candidate sharing (in no particular order): the idea, one or two supporting facts or arguments, and why this idea matters, or, for performers, a portion of the performance the candidate would like to share. Suggested methods: share a link from Dropbox, google drive, YouTube, or another file-sharing platform. Please make sure the link is publicly accessible.

Question 12 of 13

 

Please provide a link to a recent photo of the candidate.

Question 13 of 13

 

Please provide any additional links (social media, website, prior talks or videos) that you think would be helpful.

Confirm and Submit