1. Member Information

* 1. Please provide the following information. Leave this section blank if you would prefer to complete the form anonymously.

* 2. Please indicate your membership and certification status.

  Yes No
Are you a member?
Are you a CIA?
(If not, would you be interested in a CIA prep class?)


  Yes No
1. Is it okay for the New Orleans Chapter of the IIA to include my name, title, certifications, organization, phone number and email address in a chapter directory that will be posted in the member's only section of the Chapter's website?
2. Would you be interested in helping with Chapter activities?