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* 1. Name:

* 2. Preferred Address:

* 3. City:

* 4. State:

* 5. Zip:

* 6. Email:

* 7. Preferred Telephone #:

* 8. Education Background:

* 9. Biography:

* 10. Area's of Expertise:

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

  Administative Assistant Program Development
Project Management:

* 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:

* 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:

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

* 15. Describe Hourly rates:

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

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