Dazzling Insider Panelist Application

Your Name:

Email:

Phone:

Nominee's Name:

Nominee's Email:

Nominee's Phone:

Why do you think the nominee would make a great addition to the DI2026 Team?

What does EMPOWERING mean to you?

In what ways do you believe the nominee embodies their Dazzling Spark?

How do you believe the nominee finds motivation, stays motivated & best encourages motivation in others?

Do you consider the nominee to Be BRAVE & BOLD and if so, does it come naturally to the nominee?

Public Social Media Accounts for previewing *if any*

Have you taken the Dazzling District Squad Quiz?

Yes

No

I didn't know about it

What Dazzling District Squad most describes the nominee?

How did you hear about Dazzling District?

Application Date

Any final thoughts or comments I should consider before selecting the DI2021 Panelists?

Opt-In

By checking this box, I agree to share my form responses, for my nominee to be contacted & considered for the 2021 Dazzling Insider Panel, and I also consent to being contacted myself.

Dazzling Insider Panelist Nomination Form

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