Leading Well Network RSVP

Thank you for taking the time to join the Leading Well Network mailing list. We will advise you of classes, networking and funding opportunities as a LWN member. Please fill out this brief survey and we will keep you updated on ways we might support you as you make the world better. 


Looking forward to connecting, 
Dr. Deidre Combs

What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

What is your email address?

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* 3. What is your email address?

Your WhatsApp?

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* 4. Your WhatsApp?

What is your Facebook ID?

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* 5. What is your Facebook ID?

What is  your Skype ID?

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* 6. What is  your Skype ID?

To participate in an interactive dialogue, what application works best for you?

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* 7. To participate in an interactive dialogue, what application works best for you?

In what city do you live?

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* 8. In what city do you live?

How might you describe your work or current title? 

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* 11. How might you describe your work or current title? 

What leadership topics would you like Dr. Combs or other instructors to cover?

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* 13. What leadership topics would you like Dr. Combs or other instructors to cover?

What might be keywords we should associate with you? For example, women's empowerment, theatre, AIDS prevention, religious pluralism...

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* 14. What might be keywords we should associate with you? For example, women's empowerment, theatre, AIDS prevention, religious pluralism...

What would be a brief description of your favorite community project, active or complete?

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* 15. What would be a brief description of your favorite community project, active or complete?

What support do you desire from LWN?

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* 16. What support do you desire from LWN?

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