Please answer the following questions to your best ability.

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* 1. Please provide your contact informationĀ 

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* 4. If your organization is an Association, how many member organizations do you have?

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* 7. What is the mission of your organization?

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* 9. If you don't report directly to a board, please describe your relationship to the board.

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* 10. About how many employees work at your organization?

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* 11. How many employees directly report to you?

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* 13. How many years have you been in your position?

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* 14. When you think of your current organizational context, what 3 things would you most like to get help with?

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* 15. What about your work most feeds your energy?

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* 16. On a scale of 1-10 (10 being the best), how would you rate your work/life balance?

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* 17. When you think of yourself as a whole organizational and community leader, what 3 areas would you most like to develop in yourself?

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* 18. If you were at the top of your game as a leader, what would that look and feel like?

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* 19. Why are you interested in participating in a Roundtable?  What do you hope to get out of it?

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* 22. Would you be interested in finding out more about any of the following?

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* 23. What else, if anything, would you like for me to take into consideration?

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