Form - Socially Speaking

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What to expect

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Volunteer

Sponsorship

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Apply to Attend SSC 2025

Welcome! Socially Speaking Conference 2025 – “The Takeover: Power Moves Only” – is a free but curated gathering.
We’re hand-selecting participants who are serious about shaping culture and rising on the Mountains of Influence.
Please take your time to answer thoughtfully; rushed or incomplete responses reduce your chances of being accepted.

Fill the form below with intentional answers. (Your responses determine if you’ll be admitted.)
Pending Email – Acknowledgment that your registration is under review.
Acceptance Email – Official confirmation + WhatsApp group link.
Prepare for War – Clear your calendar. Come hungry. Leave transformed.

“Don’t rush this form. Every word counts.”
“We don’t admit spectators. Only warriors.”
“Your answers are your first proof of seriousness.”
“Consider this your enlistment into an army.”

Title

First Name

Middle Name

Last Name

Phone

Email Address

Age

City/State

Which of the Mountains of Influence best represents your current work or calling?BusinessMediaEducationGovernmentFamilyFaithFoodMedicineOther

Briefly describe what you do (profession, project, or area of impact). (Max 150 words)0 / 150

What excites you most about attending Socially Speaking Conference 2025? (Max 150 words)0 / 150

Describe one “power move” you’ve taken or plan to take to influence your mountain. (Max 150 words)0 / 150

What change do you want to see in your community, and how are you contributing to it? (Max 200 words)0 / 150

How will you use what you gain from SSC2025 to impact others? (Max 150 words)0 / 150

If selected, do you commit to show up on time, engage actively, and share feedback?YesNo

Are you willing to fully participate in all sessions and activities on 6 December 2025?YesNo

Upload a recent photo (optional but recommended for networking).

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