Application Form

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I'm interested in:

Attending TED@PalmSprings ($3,750)
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Your basic details

* Asterisk indicates a required field

First name *

Last name *

Gender *

Date of Birth * Month: Day: Year:

Job title/role *

What category best describes your primary role? *

Company/organization *

Type of organization *

What category best describes your organization's focus? *

Your contact information

E-mail Address *

Secondary E-mail Address

Address *

Address 2

City *

State *

Postal Code

Country *

Phone number *

Alternate phone number

Assistant's name

Assistant's phone number

Assistant's e-mail address

Tell Us About Yourself

We take this portion of the application very seriously. Please take the time to answer the questions thoughtfully, with enough detail to help us understand who you are. Unless otherwise noted, please keep your replies to 100 words or less per response. But be sure to give us context. Help us understand who you are.

If a friend were to describe your accomplishments in up to three sentences, what would he or she say?

What other achievements would you like to share?

What are you passionate about? (work, creative output, issues, communities…)

What do we need to know about you that we didn't ask? (Up to 300 words)

(Optional) Can you share a memorable anecdote from your life that will give us a further sense of what makes you tick?

List up to three web sites that will help us understand you better (such as your blog, your company's website, writing, research papers, biography or C.V., films, books, photo(s) of or taken by you.

Website Description

URL

Website Description

URL

Website Description

URL

Please list up to three references who know you well. Please include their title, organization, email address and phone, if possible. Please indicate if your reference has attended TED (it isn't necessary that they have).

Reference's Name (include title, organization, phone)

Reference's Email

Reference's Name (include title, organization, phone)

Reference's Email

Reference's Name (include title, organization, phone)

Reference's Email

Choose a username and password

To complete your application, please choose a username and password for use on our website. This will allow us to more effectively keep in touch with you. It also lets you join the discussion on TED.com.

Create a username *

Username must be 3-32 characters. Use numbers and letters only. No spaces

Select a password *

Password must be 8-32 characters. No spaces. (Symbols OK.)

Confirm password *

I would like to receive weekly email updates about new TEDTalks

I agree to TED's terms of use and privacy policy. *

TED2009
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