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* 1. Name

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* 2. Email address

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* 3. Title

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* 4. Company

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* 5. Location - City, State

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* 6. Born (MM/DD/YYYY) & Location

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* 7. Phone

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* 8. Years with company

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* 9. Years in industry

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* 10. Years in IOMSA member

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* 11. Family (spouse and children's names)

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* 12. Education (High school, college, tech school, professional development, etc.)

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* 13. Biggest trends in the industry:

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* 14. Favorite aspect of job:

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* 15. Biggest challenge (in your job or industry):

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* 16. Best customer service idea:

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* 17. Best management or employee-relations idea:

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* 18. Best safety idea:

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* 19. Who has influenced your career the most and why?

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* 20. Key(s) to success:

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* 21. Notables (awards, special positions in organizations, etc.)

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* 22. Please send a color picture of yourself to: tucker@grainnet.com

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