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* 1. Name

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* 2. Company Name

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* 3. Phone Number

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* 4. Email

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* 5. A one to three sentence explanation of my “What’s Working Topic” in my company:

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* 6. The three key lessons I’d like to share during my What’s Working Presentation are:

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* 7. A mistake/problem/challenge that I have corrected in my company is:

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* 8. What we continue to work on to improve our company:

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* 9. One to three sentences on why I should be selected as a What’s Working Participant:

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* 10. If I win the What’s Working Challenge, here’s what I would do with my prize money:

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