1. Default Section

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* 1. First Name

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* 2. Last Name:

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* 3. Job Title

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* 4. Lean or Six Sigma Job Title

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* 5. Direct Telephone Number

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* 6. Cellphone Number

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* 7. Email Address:

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* 8. Company Name:

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* 9. Address Line 1

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* 10. Address Line 2

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* 11. City

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* 12. State/County

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* 13. Zip/Post Code

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* 14. Country

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* 15. Industry Sector

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* 16. Are you the head of the entire organizations Six Sigma deployment

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* 17. Please provide the title and a brief overview of your suggested presentation.

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* 18. If you are a hospital. How many beds do you have?

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* 19. Number of Active Projects in your organization.

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* 20. Number of years your organization has been deploying Six Sigma.

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* 21. Size of Team, Number of Champions, MBBs, Black Belts & Green Belts.

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* 22. Number of Years you have been involved with Six Sigma Deployment. Which last 3 organizations and the highest respective position held in each organization. Please provide a link to your Biography if available.

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* 23. Who do you consider to be the top 5 deployers in your industry and by what metric.

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* 24. Do you currently use Consultants for your Six Sigma Deployment or any specialist applications. Please can you list them.

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* 25. Have you spoken at a previous WCBF event(s). Which one(s)

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* 26. What Associations do you belong to

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