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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your job title?

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* 4. What is the name of your organization, or affiliation?

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* 5. What is your work email address?

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* 6. What is your primary phone number?

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* 7. In which areas would you be willing to work? Please check all that apply.

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* 8. In which areas are you, or your company/organization, available to provide services? If you have a service that you don't see listed, please describe it in "Other."

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* 9. In what manner would you be willing to be compensated for your services? Please check all that apply.

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* 10. Please briefly describe your organization/firm/yourself (150 words or less).

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* 11. Please list any organizations you have served in the past with a few details about your activity (i.e. service type (see question #8) and duration). Include contact information for each organization (e.g. email). In following-up with service-providers, RCPs may request additional information in order to determine whether you, your firm or organization, would be a good match for their needs.

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* 12. Please list examples of your work (i.e. document titles with hyperlinks to PDFs, if available). Documents should be made available upon request.

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* 13. Please provide a hyperlink to your current resume, CV, or website in the box below. If you cannot provide a link for your resume or CV, you may email a PDF of either to blabich@highstead.net. We will then make your PDF available for download.

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* 14. Is there a project, activity, or initiative that you have always wanted to be involved in, or to work on, but have not yet found the opportunity?

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