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1. Please provide the following contact information:

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2. I have experience in the following:

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3. Please identify your area(s) of expertise:

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4. In what leadership situations do you thrive?

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5. Are you willing to travel?

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6. If your services are needed, what kind of time can you provide to the ISN?

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7. If you have a SPECIFIC workshop offering you would like to propose, please complete the following:

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8. If you have ANOTHER workshop offering you would like to propose, please complete the following:

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9. The 2018 National ISN Conference on Innovation will be held April 18 (pre-conference) and April 19-20 (full conference) in Wisconsin Dells, WI, at the Glacier Canyon Conference Center . Do you have an interest in presenting? If so, please list what topic(s) you would like to present:

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10. Please add any further questions or comments you have here. If you have another workshop you would like to offer, please list that here as well:

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