Partner with the U.S. Global Development Lab
note: OMB # 0412-0586, exp 01/30/17

Partnership is in our DNA. The U.S. Global Development Lab (The Lab) is first and foremost a convener of great minds, talents, and passions for changing lives around the world through the use of Science, Technology, Innovation, and Partnership. In order for us to effectively collaborate, we need to know more about how you hope to engage with us. Please take a moment to share your insights and we will connect with you in the coming weeks and months as The Lab takes shape. Thank you!

Your First Name
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Your Last Name
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Company or Organization you represent
(If applicable) if you are filling this out on behalf of yourself only, please put "self"
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Your Title
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Your Professional Email Address
How can we contact you with the information you request?
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If you are representing an organization what type of organization?
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What type of descriptor best describes you personally?
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What focus areas of The Lab are you most interested in?
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What regions, if any are your interested in possibly partnering in?
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Any countries you are particularly interested in?
Please list countries by name, separated by commas
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What do you think The Lab should focus on?
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Share with us your #1 suggestion for The Lab
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Are you interested in learning more about the U.S. Global Development Lab?
May we send you more information relevant to the information you have shared with us to the email you provided?
By checking the box below, you acknowledge that you may receiving at least one follow up email with more information based on your answers from this survey. You will have the option to opt-out of receiving future emails at any time.
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