Participation Form - Activate Alabama

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THE ACTIVATE ALABAMA SUMMIT

PARTICIPATION FORM

The Activate Alabama Summit is a free event, but space is limited. Please use the form below to submit your request to participate.

Name *

First

Last

Email *

Street Address *

City, State & Zip Code *

Example: Mobile, AL 36606

Phone Number

Are you representing an organization or a candidate?

Yes
No

If yes to above please list the organization or candidate

If representing an organization or a candidate, are you requesting a vendor table?

Yes
No

Disclaimer: Space will be limited and vendor tables are not guaranteed.

Please help us prepare for the event by answering the below questions. Your answers will help us create the content and plan for breakout activities.

Multiple choice: For each question, choose the one answers that best represents you.

Do you get your energy from interaction with the world around you, or more from yourself, with your own activities and thoughts?

I get my energy from interaction with the world around me
I get my energy from myself, with my own activities and thoughts

Does your information preferably come from observing, measuring, experience, or from explanation, reasoning, more abstract understanding?

I prefer information come from observing, measuring, experience
I prefer information from explanation, reasoning, and more abstract understanding

How do you decide: by way of ration, logic, given decision criteria, or by looking at context, interests, what feels right?

I make decisions by way of ration and logic, given decision criteria
I make decisions by looking at context, interests, what feels right

How do you approach situations: should things go as planned and wanted, or are you flexible, open to change, and go with the flow?

I prefer that things go as planned and wanted
I prefer that things be flexible, open to change, and able to go with the flow

Sliding Scale Questions

Thinking about your interactions overall, on a scale from 0-to-10, with 0 representing not at all, and 10 representing all the time, how often are these statements true for you?

My opinions and viewpoints are the same as those of my closest family and friends: 0-10

Selected Value: 0

I am confident expressing my opinions and viewpoints with the people in my life: 0-10

Selected Value: 0

Comments or Questions

[email protected]

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