| Name of EAWOP Constituent Association sponsoring application: |
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| Name and title of 1st individual registering for WorkLab 2012: |
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| Email address |
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| Work role in WOP: |
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| * This information will ONLY be used to understand the diversity of the participant group |
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| Describe in 50 words your inspiration and values as a WOP Practitioner: |
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| We suggest that each Constituent Association nominates a 2nd individual to attend the WorkLab in case further places become available: |
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| Name of EAWOP Constituent Association sponsoring application: |
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| Name and title of 2nd individual registering for WorkLab 2012: |
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| Email address |
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| Work role in WOP: |
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| * This information will ONLY be used to understand the diversity of the participant group |
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| Describe in 50 words your inspiration and values as a WOP Practitioner: |
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| The Practitioner WorkLab organisers will contact you regarding your participation and payment. |
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