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CLO Institute - Membership Form

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Professional Experience and Expertise

Responsibility: (Select all that apply)	Chief Learning Officer Coach E-Learning Designer/Developer Executive External Consultant HR Professional Instructional Designer Internal Consultant Organizational Development Professional Performance Improvement Professional Project Manager Recruiter Researcher Sales Professional Student Teacher/Professor Training Manager/Director/Supervisor Trainer (Delivers Training) Other
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Industry (Other):
Professional Practice Areas (Select all that apply)	Basic Job/Skills Training Career Development Coaching Computer Training E-Learning Instructional Technology Internal Training Management Trng./Dev. Mtg./Conf./Seminar Planning Organization Development Performance Improvement Recruitment/Job Placement Sales and Marketing Training Supplier to Learning/Perf. Field Technical Training Other
Professional Practices (Other):
No. of Years Experience in Learning and Performance:
What best describes your current professional status?

Membership Selection

Benefit	Introductory	Bronze	Silver	Gold
Annual Fee (Select One)	Complimentary	USD $100.00	USD $175.00	Future
Advance Notification of Events	X	X	X	X
Access to restricted articles, case studies, reports		X	X	X
Reduced, member-only cost of workshops			X	X
Access to member-only site			X	X

How did you hear about CLO Institute:
What are you most interested in gaining from your CLO Institute membership? (Select all that apply)	Achieve certification Networking/business contacts Stay abreast of industry trends Learn new leadership skills Hear interesting speakers Exchange ideas/learn new techniques Volunteer for institute Don't know yet Other
Most interested in gaining (Other):
Check any special groups that interest you:	Measurement/ROI Organization Development E-learning Consultants Outsourcing
We present workshops to meet the career development needs of our membership. Some of the topics we present include: Leadership, Measurement/ROI, Strategic Planning, Learning Technologies, and E-learning Facilitation.
Please indicate career development topics (including those mentioned above) that would be of interest to you:
What skills do you have that you might be interested in sharing with other members of the institute?
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Access to insideCLO -- Members Only Website

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Information you provide on this application is used by the CLO Institute leadership team to design programs and services that better the experience of institute membership. After you join, you can access your Member Profile and determine the fields you want to display on your listing in the Membership Directory.

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