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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Occupation: |
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| Industry: |
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| Volunteer Activities / Community Involvement: |
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| Education: |
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| How did you hear about NEL: |
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| NEL Sponsoring Member: |
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| Sponsor Name: |
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| Sponsor Phone #: |
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| Sponsor Email: |
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| How many years lived in Nashville: |
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| Originally from: |
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| Why did you decide to move to Nashville: |
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| NEL Questionnaire: |
Please respond to the following questions in the space provided using bullet point format: |
| Detail your current primary leadership roles and what skills you effectively employ in such: |
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| Explain in which areas you would like to see your leadership skills improve: |
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| List the most important factors in your decision to reside in and commit to Middle Tennessee: |
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| List three questions you would like answered concerning the future direction of Nashville: |
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| What aspects of NEL most intrigue you and / or what aspects do you expect to get the most benefit from? (leadership skills, speakers, philanthropy, publicity, etc.): |
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| What other interests or hobbies do you pursue outside of work?: |
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Anyone wishing to participate, please complete the application form below and someone will contact you regarding your membership.