Name:

Organization (ME/MO/MS/Other):

Title/Rank/Position:

Mailing Address:

Telephone Number(s):

E-Mail Address:

1. An unusual little known fact about me (almost nobody knows this) (1-2 lines)

2. What unusual skills or abilities are you bringing to the Innovation Ground School that do NOT relate to your job or work [think of hobbies, outside interests, things you enjoy doing] (3-4 items):

3. What training classes or conferences have you attended related to innovation, creativity, change, and teams (e.g. TQM, Leadership School, ISO 9000, Lean 6 Sigma, CPSI, Think 101)

4. List any creative thinking and innovation tools and/or techniques you use regularly or are familiar with:

5. Some new skills I would like to learn in the Innovation Ground School (3-5 items):

6. Discoveries I’ve made about innovation and creativity (2-3 lines):

7. Some obstacles to innovation and change in our organization are (3-5 lines):

8. 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]

9. Some critical issues in our organization that need innovation (2-3 items):
[An "Issue" is a difficulty that requires my teammates and/or leadership’s assistance in addition to my ability to influence or overcome]

10. The MESS - that I would like to work on during the Innovation Ground School is (2-3 lines):
[A “mess” is a complex collection of interrelated issues, problems, challenges, changes, opportunities and history]

11. RESULTS! Some specific results I hope to bring back from this Innovation Ground School (2-3 lines):

12. 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 nomination process for joining an upcoming Innovation Ground School Adventure. Once we have received and processed your eVISA nomination (initial application), we will send you more detailed information about the Innovation Ground School and some further pre-work.

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