*APPLICATION DEADLINE, Sunday: 11/16 at NOON.

To give us the opportunity to discover and invite you, please complete this brief application below.

If accepted, you’ll most likely receive a phone call with registration link within a few hours.

Sliding Scale Registration Fees: $225 (incomes under $50K/yr), $395 (incomes $50-100K/yr), $775 (income $100K+/yr)

*Facilitated by 501c3 Empowerment WORKS, The Global Summit is a catalyst for locally-led solutions throughout the year.

Registration includes:

  • Full Delegate Access to Evening Cultural Reception Nov 16 (global, vegetarian dinner provided)
  • Full Delegate Access to 2 Day Summit Program Nov 17 & 18 (coffee, light breakfast and snacks provided)
  • Year-round Access to 1PIE Collaboration & Impact Support Portal (Rallyteam.com hosted, integrated w/ LinkedIn)

Thank you for taking the time to tell us a bit about you!

E-mail address:
First Name:
Last Name:
US Phone # or a Skype address:
Your LinkedIn profile or affiliated public URL:
Main Partner in Empowerment (PIE) Sector (Learn more re. PIE Perspectives, Skills): Artist in Action
Social Entrepreneur
Educational Institution
Responsible Media
For-Profit Business
For-Impact Org or Govt.
What are you co-creating in your community / in the world?:
What do you aim to achieve through your participation in The Global Summit?(or what would you like to contribute to the discussion):