WellNXT New Orleans Ambassador & Talent Intake

WellNXT New Orleans Ambassador & Talent Intake

Applicant intake for ambassadors and event talent!
Applicant Information
First Name
Last Name
Contact Email
example@example.com
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Website URL
Instagram URL
TikTok URL
Facebook URL
LinkedIn URL
YouTube URL
Associated Organization Name
Associated Organization URL
Upload Images (1 Headshot and 1 Publicity Shot)

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Bio Description
Specialty Description
Ambassador Category
Event Talent

If applicable, please complete this section for Fit Fete/ WellNXT NOLA programming
Topic or Program
Do you have a talk, workshop, demonstration, or panel in mind? We welcome your suggestions — if there's something you've been wanting to bring to a room like this, now's the time.
If Event Talent, select available dates/times to appear on stage (does not guarantee spot)

Other
Sampling + Promotion
If you have a product, service, or brand you'd like to sample or showcase alongside your programming, tell us your vision. We want this to be a meaningful opportunity beyond the stage.
Ambassador Category & Community
Primary WellNXT Community/Market
Additional Communities/Markets

Other
Wellness Sector Priorities
Wellness Sector - 1st Priority
Wellness Sector - 2nd Priority
Wellness Sector - 3rd Priority
Detailed Sector Mapping
Fitness - Areas of Expertise

Other
Fitness - Other Area of Expertise
Fitness - Common Roles

Other
Fitness - Other Role
Nutrition - Areas of Expertise

Other
Nutrition - Other Area of Expertise
Nutrition - Common Roles

Other
Nutrition - Other Role
Mental Health - Areas of Expertise

Other
Mental Health - Other Area of Expertise
Mental Health - Common Roles

Other
Mental Health - Other Role
Community Health - Areas of Expertise

Other
Community Health - Other Area of Expertise
Community Health - Common Roles

Other
Community Health - Other Role
Holistic/Integrative Wellness - Areas of Expertise

Other
Holistic/Integrative Wellness - Other Area of Expertise
Holistic/Integrative Wellness - Common Roles

Other
Holistic/Integrative Wellness - Other Role
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WellNXT New Orleans Ambassador & Talent Intake

Applicant Information

Event Talent

Ambassador Category & Community

Wellness Sector Priorities

Detailed Sector Mapping