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Conclave Sessions Roundtable Application
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Best phone number to reach you at?
*
Your answer
What's your job title?
*
Your answer
What church do you work/volunteer at?
*
Your answer
What is your church's total weekly attendance?
*
0-500
501-1000
1001-3000
3001-10,000
10,000+
What session are you interested in attending?
*
Fall 2011 - Chicago Roundtable
Winter 2011 - San Diego Roundtable
Spring 2011 - New York City Roundtable
How do you go beyond just communicating to influencing?
*
Please limit your responses to 150 words or less.
Your answer
How do you go get beyond the noise of people's day-to-day?
*
Please limit your responses to 150 words or less.
Your answer
Optional (But Helpful) Information
You do not need to fill this section out, but it will help your chances of being selected.
What is your Klout score?
www.Klout.com
Your answer
What is your Twitter handle?
www.Twitter.com
Your answer
What is your blog address?
Your answer
What was the best part of your day today?
Your answer
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