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Submit an application if you'd like to attend the "Conversations about Conscious Media: Our Next Big Horizon" event.
For context, we define "conscious media" as entertainment that creates awareness and has a positive impact on the individual level and global level.

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* 1. Contact Information

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* 2. What is your Job Title?

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* 3. Please select the stakeholder group you most identify with. 

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* 4. Do you have AUTHORITY - to implement a vision without having to get permission from anyone not present at the event?

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* 5. Do you have RESOURCES - time, financial resources, access, and/or influence?

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* 6. Do you have EXPERTISE - of social, economic, technical trends related to Conscious Media?

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* 7. Do you have INFORMATION - about Conscious Media that others might find valuable?

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* 8. Do you have NEED - you or your business is involved with Conscious Media?

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* 9. Why are you a good fit for the "Conversations about Conscious Media" event?

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* 10. Would you be interested participating via an online live video

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