2017 CMP Volunteer Form

Volunteer Opportunities for CMPs!

Please fill this questionnaire out completly. You will be notified by CIC if you are selected to sit on a panel. Thank you for your interest in the CMP Program!

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. If you are a meeting planner, please select your area of expertise

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* 3. If you are a supplier or an academician, please select your area of expertise

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* 4. Do you have experience with professiolnal development activities? (If yes, please explain)

Yes

If yes, please explain:

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* 5. Please describe your experience as a volunteer in industry associations. Please provide organization and committee name(s)

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* 6. Please describe your interest and goals in volunteering as a subject matter expert for CIC.

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* 7. If selected to site for a voluteer panel, I understand that I will be required to complete and abide by a conflict of interest and confidentiality agreement

I agree