Thank you for your interest in exploring committee membership. Please complete this form to help us learn more about you and connect you with a Committee Co-Chair.

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1. Today's Date (Required.)

Date

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2. Full Name (Required.)

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3. Company Name (Required.)

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4. Phone Number (Required.)

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5. Email (Required.)

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6. What is your LinkedIn Profile and/or Website? (Required.)

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7. What committee are you interested in joining? (Required.)

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8. What else would you like us to know? Are there any skills you are looking to develop as part of your active committee participation (e.g., producing a virtual event, creating marketing graphics, or project management)?

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