Note: Please have your 1-page resume and headshot handy before you start the application. Each file should be less than 16 MB.

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* 1. Full Name

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* 3. Email

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* 4. Organization/Institution and your title

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* 5. How many years of work experience do you have and how many years involving supply chain?

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* 6. Please share a reference name and their contact information

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* 7. Why would you like to participate in the 23:23 Leadership Program? (Up to 250 words)

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* 8. What are your career aspirations? (Up to 100 words)

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