Steering Committee Member Application
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Email *
Name *
Business/Employer *
Email *
Phone
Are you involved in other organizations, if so please list the name(s) of the other organization(s). *
What do you envision as your primary contribution to the WBL Steering Committee should you be selected? *
What interests you about joining the WBL Steering Committee? *
What would you like to accomplish with your time on the committee? *
What role would you be interested in?  (Mark all that apply) *
Required
Why are you interested in the role checked above? *
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