MPA-sponsored Application Form

Tell us who you are
Your professional information will be included in the Digital Program Handbook.
1.1) Full Name*
First Name Last Name
1.2) Date of Birth*
DD slash MM slash YYYY
1.3) Nationality*
1.4) Contact Info*
Phone Whatsapp
E-mail*
Enter Email Confirm Email
1.5) Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
1.6) Professional Data
Occupation Position/ Job Title
Company Website
1.7) Headshot*
Upload your photo to be included in the Program Book. (Accepted file types: jpg, png or pdf) File size: up to 2MB.
Accepted file types: jpg, png, pdf, Max. file size: 5 MB.
1.7) Short professional biography*
Up to 500 characters in English
1.8) What is your main objective with the LATC Program?*
- Learn about the U.S. and Global industry
- Develop or improve my pitch techniques and skills
- Connect with international industry executives and professionals
- Networking with LA-based industry leaders and experts
1.9) Do you have a project, concept or completed work that you wish to share with other participants and speakers?*
If so, complete the next section. If your answer is No, jump to the final application form section.
- Yes
- No

Tell us who you are

First Name	Last Name

Phone	Whatsapp

Occupation	Position/ Job Title

Company	Website