We will contact you about topics and timing

Please make sure to spell your work email exactly (no typos) and since email reply is required supply a backup (personal) email just in case.

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* 1. Select all that apply so we know more about your interest in sharing

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* 2. Best ways to reach you (for follow-up, provide at least work email)

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* 3. Replying to email is required to join a roundtable CIRCLES session.  So, we will also send to your personal email as back-up.  Please enter a second email just in case (double check for typos)

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* 4. Please let us know your preferred first name

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* 5. Please let us know your preferred last name

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