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Montana Ambassadors is creating an inventory of  member expertise to identify existing skills,  mentorship opportunities, and identify diversity within our membership.   This survey will also give you the opportunity to indicate what activities you would like to undertake to advance our goals and mission.  Thank you for your time!

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Business or Agency Name

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* 5. Street Address

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* 6. City (If you are a regional organization please put down the city/town of your main location.)

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* 7. State

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* 8. Zip Code

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* 9. Best phone number to contact you

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* 10. Email Address

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* 11. To which MT Ambassador Chapter do you belong?  (Kalispell, Missoula, Butte, Bozeman, Billings, Sidney/Glasgow/Glendive, Helena, Great Falls, California or Pacific Northwest) 

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* 12. Which of the following best describes your current occupation?  Pick one.

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* 13. Indicate areas of expertise and/or experience in which you would be able to assist others with information, guidance and/or support.  Select all that apply.

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* 14. Working closely with the Governor's Office of Economic Development, Montana Ambassadors is looking to expand its geographic outreach.  Can you identify any champions that would serve as the first organizational contact in these areas?

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* 15. Montana Ambassadors would like to expand outreach to Montana's Tribes.  Please indicate the Indian Country areas with which you work or have done business.

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* 16. What would you like to do to help the Montana Ambassadors and the organization’s mission?  Select all that apply.

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* 17. Do you have any other comments?

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