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* 1. Name:

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* 2. Preferred Address:

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* 3. City:

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* 4. State:

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* 5. Zip:

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* 6. Email:

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* 7. Preferred Telephone #:

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* 8. Education Background:

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* 9. Biography:

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* 10. Area's of Expertise:

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* 11. I am interested in providing the following services as a RAMA Associate should the need arise:

  Administative Assistant Program Development
Project Management:

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* 12. I am interested in providing the following services as a RAMA Associate should the need arise:

  Executive & Employee Coaching Strategic Planning Marketing
Capacity Building:

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* 13. I am interested in providing the following services as a RAMA Associate should the need arise:

  Instructional Design Technical Writing Trainer
Training and Facilitation:

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* 14. Describe relevant experience (In this area include your role, skills used, environment, and duration):

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* 15. Describe Hourly rates:

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* 16. I cound provide services during (check all that apply):

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