Team Confirmation Form

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TEAM CONFIRMATION FORM

Please have the Team Lead or Data Lead submit this form to confirm your team and their roles for the ESBE Listening Tour.

1 About you
2 Team Members

Full Name

Email

Did you mean?

Phone Number

May we follow up with you regarding this campaign and our other efforts via text?

May we follow up with you regarding this campaign and our other efforts via text?

Yes No

County

Team Name

Team Role Team Role Team Lead Data Lead

Is anyone in your team part of a small business or house of worship? Is anyone in your team part of a small business or house of worship? Yes No

Please specify the house of worship or small business name:

You can add up to 9 members for a total of 10 people per team

Scroll down and click "Submit" if you have added all your team members.

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

Select to add another team member

Name

Email

Phone Number

Team Role Team Role Team Lead Data Lead Training Lead Story Lead Team Member

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