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1. Name of the Person Completing the Application

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2. Role/Title

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3. Email Address

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4. Phone Number

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5. Company Name

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6. Headquarters Location

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7. Please describe an innovative channel program launched by your company in last 18 months.

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8. What was the intent/goal of the channel program or initiative?

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9. Was the program/initiative regional or global? (if regional, please specify which region)

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10. What is the name and title of the channel leaders who initiated the innovative/change agent program?

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11. What material impact/result has the program produced to date? (If it’s too soon for results, please describe the program factors your expect to produce positive returns.)

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12. In your estimation, what makes the channel program/initiative unique?

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13. Who was involved in the design and implementation of the channel program/initiative? (titles/positions will suffice)

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14. How was the channel program/initiative marketed or communicated to channel partners?

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15. If the program failed to produce the desired results, why, in your estimation, was it worth the effort/attempt?

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16. Would you recommend the channel program/initiative to a friend to replicate? If yes, why?

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