CEO Roundtable Host - Interest Form

Thank you for your interest in hosting a WSAE CEO Roundtable!

About: CEO Roundtables are free, in-person gatherings for association Chief Staff Executives (CEOs/Presidents/Executive Directors) to meet and discuss current challenges, successes, and emerging topics impacting associations and our industry. CEO Roundtables are hosted by association executives at their headquarters in the greater Madison and Milwaukee areas. Events occur on weekdays typically during business hours. They range from coffee meetings, to lunches, to after-work refreshments. To foster and ensure a casual, candid, and confidential setting, attendance to the CEO Roundtables is restricted to association CEOs only.

Expectations of CEO Roundtable Hosts:
- complete this "CEO Roundtable Host - Interest Form" to express your willingness to host an upcoming event
- accommodate meeting space (tables/chairs) for 15-20 individuals
- pay for and provide coffee/beverages and light refreshments for attendees

WSAE Staff will:
- connect with you to confirm and finalize details (within 1 week of receiving a completed interest form)
- create and manage the RSVP for your CEO Roundtable event
- promote the CEO Roundtable event to WSAE members
- send the final attendee RVSP list to you a few days in advance of your CEO Roundtable event

Question Title

* 1. Your contact information

First and Last Name

Organization

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. CEO Roundtables occur on weekdays. They can be scheduled any time that is convenient for you as the host - morning coffee, lunch, or at the end of the day with refreshments.

Please list 2-3 dates (within the next 2-12 months) that you're willing to host an upcoming CEO Roundtable (see a list of currently scheduled CEO Roundtables here.)