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Cohort Gentlemen - I Paid $25.00 Membership
General Membership
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Completed initial one on one conversation with Impact Leader
Up to date with my one on one conversations with my Impact Leader (Check-in1 and scheduled check-in 2 if it applies to you.) Contact IL
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Lodging (two people per room)
Travel Stipend To Offset Cost For Travel
Cost Of Conference Registratoin
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Car
Plane
Bus
Train
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Austin
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Carey
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Status
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Check All That Apply
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Email
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City and State
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Work Site/Job Title
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Why are you interested in attending the Community Impact Assembly?
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Based on what you know about the conference, how will it improve your impact in the community you serve?
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Please check what you would need financial aid assistance in?
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For Travel only. Choose your preferred method(s) of Transportation
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