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We hope you are excited and willing to share your successful outcomes with peers at Centricity Live.

Now that you’ve done all of the hard work leading to your success, please take just a few minutes to help us understand some of the key elements that led to your project or program success.

Please fill out the information about your project. The * fields are required. Once you have completed the form, click Submit. At that time, you will have the opportunity to save or print a summary of your submission.
Contact and Organization Information:
 (400 words maximum).
(400 words maximum).
(200 words maximum).
Please feel free to simply re-purpose any program summaries that you’ve already documented and created – we’re not trying to create any extra work!
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