IGNITE CIRCLE 10 | AUGUST 2018

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In selecting the next 100 for our second batch of Ignite Concepcion, we will consider these factors:

First Name (required)

Last Name (required)

Mobile Number (required)

Your Personal Email (required)

I already RSVPed for the previous Ignite Concepcion Circle and therefore I'm eligible to skip the rest of this form.

WARNING: Please make sure that if you check this box, you have already completed the information below.

Strategic Business Unit

Business Unit

For each question, please answer as honestly as you can:

I often feel a restlessness to spot problems, improve things or make a difference.

Very TrueTrueNeutralFalseVery False

I am willing to put in the time, over and above my normal work duties, to work on innovation for CIC.

Very TrueTrueNeutralFalseVery False

I feel that I am in a position to make change happen in CIC.

Very TrueTrueNeutralFalseVery False

Bonus (you don’t need to fill this in, but we strongly encourage you to):

Pick any one of the 3 questions above and tell us more about how it applies to you (i.e., share details of how you have experienced it).

Registration is now closed. See you at the event!