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ICESNA New Member Data
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Full Name
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Your answer
College Education / Degrees
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Current Employer (if you choose "Other", what is the Name of Company?)
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Unemployed
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Current Position
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Discipline / Specialty (Check all that applies)
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Coastal
Construction Management
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Geotechnical
Public Works
Structural (Bridges)
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Transportation
Water Resources
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Registrations (Check all that applies)
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EIT
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GE
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Other:
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Email Address
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Phone Numbers (Office)
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Phone Numbers (Mobile)
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City of Residency
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State of Residency
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Which one of these would you like to be enrolled in? (Check all that applies)
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ICESNA Google Groups
ICESNA Linkedin Group
ICESNA Whatsapp Group
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