Connect with me form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

What are your educational credentials (degree/training/certifications, etc.)? What professional organizations or memberships are you presently or have you previously been affiliated with?* This field is required.Enter any degrees, certifications, awards, associations or anything you are proud of accomplishing professionally.

4

How do you spend your "downtime"? What do you do for fun, relaxation, and unwinding? * This field is required.Enter any sports, social activities, entertainment activities, favorite authors, books, events, conferences, etc.

5

What type of places do you go to, both online and offline? Type the first places that come to mind (be specific- brand names too).* This field is required.Enter stores, events, gym, activities, etc.

6

What brands are you drawn to online to follow, comment, watch videos and connect with?* This field is required.Enter online tv shows, podcasts, personalities/celebrities, influencers, etc.