Supply Chain Education Alliance Membership Application

Member Information Today’s date: __/__/__
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FIRST NAME MI LAST NAME
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JOB TITLE COMPANY NAME COUNTRY
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ADDRESS
______________________________ ______________________________ ______________________________
CITY STATE ZIP
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BUSINESS PHONE HOME PHONE E-MAIL

Member Profile

Education
__ High Scholl _ Some College __ Bachelors Degree __ Masters Degree __ DBA/PhD

Years of work Experience:
__ Less then one __ Under 5 years __ Under 10 years __ Over 10 years

Level of Employment:
__ Entry level __ Mid level Management __ Professional __ Upper management

Business Environment:
__ Manufacturing __ Service __ Consulting __ Academic __ Government

Are you an APICS member? Y/N

__ Send me information about upcoming events. ___ Mail ___E-Mail

Reason for Joining
___ Continuing Education ____ Teaching Opportunities (Attach your Resume here)

Certificate of Membership will be mailed to you once you have attended a ISCEA class.
 

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