DRAFT - Spring 2025 Harwood Institute Virtual "Getting Started" Public Innovators Lab - Application

Application

Application form for participation in the Spring 2025 Harwood Institute's Virtual "Getting Started" Public Innovators Lab.

20 seats available. Deadline closes February 19, 2025.

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* 1. First Name

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* 2. Last Name

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* 3. Library Name

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* 4. Job Title

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* 5. E-mail Address

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* 6. Mailing Address

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Work Phone

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* 11. I have received permission from my Supervisor or Director to participate in this training.

Yes

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* 12. Supervisor / Library Director's Name and E-mail Address (If you are the library director, indicate n/a below).

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* 13. I understand the following:

I will be receiving important physical materials mailed to the address I provided prior to the event important to the course.

The dates of the Lab include Monday, March 31st as an Orientation Day from 2:00-3:30pm EST, with the remaining 5 sessions occurring on the Thursdays on the following dates 4/1, 4/8, 4/15, 4/22, and 4/29 from 2:00-4:00p EST.

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* 14. I consent to photos taken of me by The Harwood Institute for Public Innovation during this event, and I give permission to the Institute to use the photos for promotional and marketing purposes in print and online. If you do not wish to consent, please select the "I opt out of the photo consent" box below.

I consent.

I opt out of the photo consent.