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* 1. Name *

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* 2. Company *

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* 3. Phone *

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* 4. Email *

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* 5. Tell us a few things about your organization's goals as they relate to energy efficiency and DERs. *

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* 6. What is your department or functional area? *

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* 7. What are your organization's challenges? *

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* 8. Please provide your professional bio here. Alternatively, you may provide a link to your LinkedIn profile. *

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* 9. What has been your biggest success story related to energy and/or your area of focus? *

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* 10. What are the top 2-3 activities that your organization is doing well and what is your role? *

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* 11. What are the top 2-3 activities that your organization struggles with from an energy efficiency and DER point of view? *

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* 12. Do you have the support of upper management to participate in this Executive Development program?

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