Sign the Geoprofessional Value Accord

1
Full Name* This field is required.By signing the Accord, you are not obligating yourself or your firm in any way. Rather, you are affirming that, as an individual, you believe the guiding principles when engaged by geoprofessionals serve to elevate our value.
First Name
Last Name
2
SignatureA script signature is optional.
3
Credentials or LicensurePlease include your credentials, licensure or any other relevant information below.
4
Position and Company NameThis information is not required. If you include your Position and Company Name and choose to publicly share this information, we will include it with your Full Name and Credentials or Licensure on our Signatory Directory page of our website.
Position
Company Name
5
Email AddressWe will not publicly share your contact information without your permission.
example@example.com
Confirm Email
6
Phone NumberWe will not publicly share your contact information without your permission.
Please enter a valid phone number.
7
Can we publicly share your title, organization affiliation and contact information on our Signatory Directory page?* This field is required.By choosing to make your info public, you are agreeing for Elevate Geoprofessional Value to use your position, organization and contact information.
Yes, you can share my organization affiliation and contact informationNo, keep my organization affiliation and contact information private
8
Please include a headshot or photo of yourself if you would like for it to be included on our Signatory Directory pageJPG or PNG
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