SIM Ask the Experts Media Application

1.

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* 1. Please complete the following information to be considered as an industry expert for the SIM Media Speaker Bureau.

Name: *

Company: *

Title: *

Address:

City/Town: *

State: *

ZIP: *

Country:

Email Address: *

Phone Number: *

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* 2. What Chapter are you a member of?

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* 3. What is your role with SIM?

SIM Board Member

SIM Management Council

Chapter Leader

Chapter member

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* 4. How long have you been a member of SIM?

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* 5. What are your areas of expertise with regards to IT?

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* 6. We are currently seeking CIOs and IT execs to serve as a SIM spokesperson/topic expert comfortable in speaking with the media. Please indicate which topics you are comfortable in speaking to the media as an expert:

Cloud Computing

Mobile computing and its impact on the enterprise

IT Careers

IT-Business Alignment

Business Intelligence

Outsourcing/offshoring

The Future of IT

Other (please specify)

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* 7. Are you able to speak to the media:

on behalf of your company

strictly as a SIM representative only

other

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* 8. Do you need permission from your manager, Corporate Communications or anyone else in order to speak with media?

Yes

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* 9. If so, how much lead time do you need?

one day

2-3 days

more than 3 days

other

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* 10. If media training were available through SIM, would you be interested in participating to learn how to properly conduct a media interview?

Yes