StatsForward Interest Form

StatsForward Interest Form
If you are an experienced professional interested in supporting the StatsForward Career Development Program, please complete this form.
Please provide your name and email if you are willing for us to contact you to follow up with you.
Name*

First NameLast Name
Email*
example@example.com
Employment Sector*

AcademeBusiness/IndustryGovernmentNon profitOther
How long have you been a member of the ASA*
Are you currently a member of an ASA chapter?*

YesNo
Are you currently a member of an ASA section(s)?*

YesNo
How would you like to contribute?*

Serve on the Selection CommitteeCurriculum DevelopmentServe as a MentorServe on the Advisory CommitteeOther
Comments
Thank you!
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