Time: 21:32:04
Personal Info
First Name
*
Last Name
*
Company or Institution
Title
Email
*
Social Media Handles
Phone Number
Short Bio
*
Consent for storing submitted data
*
Yes, I give permission to store and process my data
Residency Information
Proposed Dates
Overview of the plan for the Global Influencer Residency
Which sessions, demos, topics, themes
Technical Requirements
In order to deliver the sessions outline above