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1. Thanks for applying to "crash" the Convention! Please answer all questions completely.

 

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* 1. Name

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* 2. Age

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* 3. email address

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* 4. Daytime phone number

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* 5. After-hours/cell phone number

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* 6. What credit union do you work for now?

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* 7. What is your current title?

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* 8. How long have you worked in credit unions?

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* 9. What are the two previous jobs you held before the one you now have at the credit union?

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* 10. When is the last time you attended the Indiana Credit Union League Convention?
Please provide the year. If this would be your first convention, put "never."

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* 11. If you are selected for Crash, you may be asked to serve on a panel at a future League or Chapter meeting. You may also be asked to write something about your experience (during or after the Convention) that would be shared with others. Are you willing to do this?

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* 12. Why would you like to Crash the Indiana Credit Union League Convention?
Please submit an answer of 150 words or less.

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* 13. What is the best thing about your credit union that a consumer your age should know?
Please submit an answer of 150 words or less.

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* 14. If you are chosen, what will you do as a result of your Crash experience?
Please submit an answer of 150 words or less.

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* 15. Who may we thank for referring you?

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* 16. Please confirm the following by checking the boxes.

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