Speaker nomination form

Part 1: About you (the nominator)

First Name *

Last Name *

Email Address *

Phone Number *

I am nominating myself

First Name

Last Name

Email Address

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Gender: *MaleFemaleOther

What is their occupation? *0 / 100

Tell us more about the speaker. Why are you recommending them? *0 / 100

What might their Succes Story talk be about? *

Has this person spoken publicly before? If so, where?0 / 100

Please provide links to online video or audio featuring the proposed speaker.

Please provide links to any articles or web pages about the speaker.

Do you know this person personally? - It’s okay if you do not.YesNo

By checking this box, I consent and agree to TED processing my information as defined above. *

Before submitting your nomination, please review how Success Story processes the personal information you provide to us:

We will evaluate your nomination and will share this information with staff members and third parties selected to review speaker nominations.
There is no deadline for nominating a speaker. If you've submitted a nomination, it will stay in our database to be considered for future conferences.
Due to volume, we are not able to respond personally to each suggestion, but someone from Success Story will be in touch if needed.
Your information will be processed in accordance with Success Story 's privacy policy.
Please reach out to info@thelimitlessteam.com if you have any concerns with Success Story managing your data.