GAME CHANGERS NOMINATION

*required fields

Please note that nominees must be a Washington State resident of Filipino descent and must have reliable transportation to the Renton / Kent area for a half day photo / video shoot.

Name *
Name
Birthday *
Birthday
Phone Number *
Phone Number
Please enter all of your social media links. One per line.
Do you speak Tagalog and / or any dialect? *
Are You Currently Employed / own your own business? *
Are you currently part of and / or lead an organization? *