Name:

Organization:

Title or Position and Area of Responsibility:

Mailing Address:

Telephone Number(s):

E-Mail Address:

1. What I really do (not a job or position title): (1-2 lines):

2. Some discoveries I’ve made about thinking different (2-3 lines):

3. Some challenges I face that require different thinking (2-3 items):
[A "Challenge" is a difficulty, but within my ability to influence or take on and change]

4. Some obstacles to thinking different in our organization are (3-5 lines):

5. Some new skills I would like to learn on Expedition (3-5 items):

6. Unknowns I hope to explore during the IgNITE Expedition are (3-4 items):

7. The face of Mt. Innovation (The "MESS") that I would like to see us try to climb is (1-2 lines, preferably as "problem statements, 7-9 words max):
[A "Mess" is a complex collection of inter-related issues, problems, challenges, opportunities, background and history facing you and/or your organization - and is something YOU are interested in working on]

8. RESULTS! Some specific results I hope to bring back from this Expedition (1-2 lines):

9. My temperament:

If you know your Temperament, please indicate it below. If you do not know your Temperament, please click on the link below to go to the Keirsey website to complete the Keirsey Temperament inventory before entering your Temperament.

This eVISA is the first step in your application to join the upcoming IgNITE Thinking Expedition. Once we have received and processed your eVISA (initial application), we will send you more detailed information.

Should you have any questions or difficulties, please call the School for Innovators, Fredericksburg, Texas at (830) 992-2153 or send an e-mail to: basecamp@thinking-expedition.com