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Membership Survey
Thank you for your interest in becoming a member. Kindly fill in this form in order to better process your application. We look forward to hearing from you!
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Email
*
Your email
What is your full name?
*
Your answer
Where are you located? (City, State)
*
Your answer
What is your profession? (include job title if applicable)
*
Your answer
Which organization are you part of?
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BWICR
BMICR
MICR
Other
Would you be interested in any of the following?
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Mentorship
Resume review
LinkedIn Revamp
Classes
Interview prep
Volunteer (chapter admin, outreach, brand ambassador)
None of the above for now
Maybe in future
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Are you interested in being on our job email list?
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Yes
No
Maybe
Any other additional information you would like to share with us?
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Your answer
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