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* 1. I nominate the following community as a host community for a Leadership Iowa session:

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* 2. Are there any months that the community would be UNABLE to host a session? (Sessions are typically held Thursday-Friday within the first two weeks of the month)

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* 3. What session topic/subtopics would be appropriate for your community? (e.g. Education, Economic Development, Agriculture, Public Safety/Security, Health Care, Community Vitality, Technology, Entrepreneurship, Environment/Natural Resources, Transportation, Workforce Development, Advanced Manufacturing, Financial Services/Insurance, etc.)

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* 4. Within the community, what are some places of interest to the class or pertinent to the session topic? (e.g. manufacturer/business, unique/historic site, restaurant, etc.)

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* 5. Are hotel/meeting/catering accommodations available to host the class, staff and guests (up to 50 attendees)?

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* 6. Are you willing to help coordinate the session? Please list the names of other support members who may assist with the planning and execution of the session activities (alumni, board, community).

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* 7. What potential corporate and/or community sponsors may be available (e.g. meals/breaks, in-kind or financial donations, complimentary facilities)?

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* 8. General/Additional Comments

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* 9. Please provide your name

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* 10. Please provide your email address and phone number

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