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ACESA Alumni Membership Application
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1.
What is your name?
(Required.)
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2.
What is your email address?
(Required.)
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3.
Name the Agency of which you last served as CEO/CEO equivalent of?
(Required.)
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4.
For how many years did you serve in your last CEO position?
(Required.)
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5.
What is your current role(s) (Tick as many as apply)
(Required.)
Retired
Consulting
Working in the private sector
Working in the public sector
Other (please specify)
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6.
Do you have a relationship with a current Agency whose CEO/CEO equivalent is an ACESA member? (tick all that apply)
(Required.)
No, none
I am employed in an ACESA member’s Agency - If selected, you will be contacted to advise which one.
I am a Board member of a current ACESA member’s agency - if selected, you will be contacted to advise which one
I provide consultancy services to a current ACESA member’s agency (if ticked, you will be asked to name which one(s)
Other (please specify)
Current Progress,
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