Develop Your Organization Dux Center Training and/or Resource Request Please fill out this form to request help with your leadership development needs. You may need a presentation by the LEAD Team. Or you might be looking for a book, or a video, or some equipment to use for something you have planned. Maybe you need a recommendation for a leadership speaker, or would like to consult with someone about your leadership needs. Just complete the form below and we will contact you via email as quickly as possible to get more detailed information and determine how we can help. Thank you! Step 1 of 2 50% Contact Information:Name* First Last Email* PhoneOrganization (if applicable):What kind of help are you needing?(You may check all that apply.) I need somebody to do a Leadership Training Presentation for my organization. I hope to get help with a program I am putting together. I am looking for some equipment &/or resources to help me with something I am doing. I want a recommendation for a speaker, a program, or some other leadership development related resource. I really need a book, or a video, related to leadership. I want to become a better leader and need personal help. Other Presentation Information:Presentation TopicLength of presentationShorter than 45 min45 min1 hour1 hour 30 minLonger than 1.5 hoursFacilitators(You may check any combination of choices below.) Roy Boyd Dion Gray Matt Harrell Molly Jacob Carrisa Jeffers Zachariah Karp Amy Lebrecht Matt Lonett Michael McCleve All of the above No preference Requested DatesChoice 1Choice 2Choice 3 Requested LocationEstimated AttendanceBrief description of presentation Consultation Help for Your Program:What kind of help are you needing? Tell us about your program, what you hope to have happen, or anything at all that will help us know how we might be able to help you. Equipment and/or Resources Needed:What equipment and/or resources do you need? Be specific, or just tell us about your program, or the event, or the activities you are doing so we can let you know if we have the equipment, or resources, you need. Recommendation Needs:What do you need the recommendation for? A speaker about a specific leadership topic? A particular program or leadership assessment? Just give us whatever information you can. Book or Video Information:Title? Book or Video? Author? Year? What do you know about the book, or video, that will help us locate it for you? Personal Assistance Information:Tell us a little bit about your leadership experiences in the past and what kind of help you need or what direction you think you would like to go next. In short, how do you think we can help? Other:Talk to us! What are your leadership development needs? What do you think we can do to help you?