2nd Annual Change Forum Application

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Thank you for taking the time to apply to our second annual Change Forum presented by the Accenture Leadership Center! Please answer the following questions to be considered for a spot. The event will take place on March 9th from 10:00 am - 3:00 pm (tentative).

First Name *

Last Name *

School Email Address *

Class Standing *

Freshman

Sophomore

Junior

Senior

Fifth year or graduate student

Major *

What best describes you? *

I am currently enrolled in the business school

I am pursuing a certificate in business

I am pre-business

I am not affiliated with the business school

Are you currently working towards the Leading for Change business badger badge? *

Yes

Why do you want to participate in the ALC Change Forum? *

Please confirm your availability for the day of the Change Forum: Saturday, March 9th from 10:00am - 3:00pm *

Yes, I am available

No, I can no longer attend

Please note that due to limited capacity, you may not initially be selected to participate. Should this happen, are you willing to be placed on a waitlist if a spot opens up? *

Yes, please waitlist me

No thank you

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