Thank you for your interest in PowerLink. This confidential application will be used to evaluate your acceptance into the program. Concurrent with completing this form, and to assist us with the board matching process, please answer the DiSC questionnaire and return the results to us. You can do this by: (pick one method):

          (1) registering at the end of the test to retrieve your pdf version, that you can forward to us via email
               -- or --
          (2) selecting all of the text on the final page with your results and pasting them into an email that you send to us.

Please return your DiSC profile results to us, along with a current copy of your Bio, Resume or CV. Send to AdviseCoordinator@PowerLink.org. If you have questions, please visit our website at www.PowerLink.org or contact us at 412.719.7191. Follow us at PowerLink Advisory Boards on LinkedIn.

Please be sure to click DONE below before leaving this page to complete the application.

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* 1. Company Address

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* 2. Home / Personal Information

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* 3. Please indicate your preferred phone method of contact:

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* 4. Please indicate your preferred email method of contact:

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* 5. Please check which business function(s) you consider to be your primary area(s) of expertise:

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* 6. Please check which industry(s) you have worked in / have experience in:

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* 7. Briefly describe what expertise you can bring to a PowerLink Advisory Board (please include any unique skills):

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* 8. Why do you want to serve on a PowerLink Advisory Board?

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* 9. Is there a particular board or board position you are interested in? If so, note below. Click here for Open Boards.

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* 10. How did you hear about the PowerLink Program?

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