2019 SIOP Speed Benchmarking Event Sign-Up Welcome to the 2019 SIOP Practitioner Speed Benchmarking Event Sign-up!The Practitioner Speed Benchmarking event will take place at the 2019 SIOP Conference on Thursday, April 4, from 4:30 - 6:00 PM. Refreshments will be served to help make this a relaxed and inviting atmosphere for discussion! The session includes two 30-minute round table discussions on specific topics facilitated by one or two expert practitioners per table. Participant Requirements: • Current SIOP member with at least 8 years’ experience working in an applied setting; please note that this is not a student event • Recommended experience levels for each table topic can be found at the following link: Topic Descriptions and Recommended Experience LevelsSpots are filled on a first come, first served basis. You can sign-up for this event through March 5.Please complete this sign-up in its entirety. Question Title * 1. Please complete all information below. If you are an international member, please only include the country where you are based. Name: * Company: * State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country: * Email Address: * Phone Number: Question Title * 2. SIOP Member Status. Student Affiliate International Affiliate Member Fellow Question Title * 3. I have reviewed the Topic Descriptions and Recommended Experience Levels document link and meet the requirements for at least 2 topics. Yes No Next