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NAHR 2024 Chief Human Resources Officer Academy XXIV

First Name *

Last Name *

Title *

Organization Name *

Address *

City *

State *

Zip code *

Office Phone *

Cell Phone (to be held in strict confidence) *

Email *

Personal Email: *

Assistant name *

Assistant phone *

Assistant Email *

Emergency Contact Name *

Emergency Contact Phone *

Known food allergies (enter N/A if not applicable) *

Special meal or other request (enter N/A if not applicable) *

Do you need any other special accommodations in addition to food? *

Number of years as a CHRO (or equivilent position title for the top HR role). *

Please select which catagory your organization falls under. *

Public

Private

PE Owned

Non-Profit

What is your organizations industry? *

Aerospace and Defense

Agriculture

Automotive

Bio Pharmaceutical

Consulting and Professional Services

Consumer Goods and Services

Economic and Finance

Education

Energy and Power

Entertainment and Recreation

Environmental

Food and Beverage

Government

Healthcare

Hospitality

Insurance

Manufacturing

Media

Oil and Gas

Real Estate

Retail, Wholesale and Distribution

Staffing and Employment Services

Technology

Transportation

What were your organizations total revenues last fiscal year? *

Less $1M

$1M - $5M

$5M - $100M

$100M - $500M

$500M - $1B

$1B - $3B

$3B - $5B

$5B - $10B

$10B - $25B

>$25B

Private Info or N/A

What is the size of your organizations wortrkforce? *

<500

501 - 999

1,000 - 2,499

2,500 - 4,999

5,000 - 9,999

10,000 - 19,999

20,000 - 29,999

30,000 - 49,999

50,000 - 74,999

75,000 - 99,999

>100,000

As a CHRO what are the top 3 key HR issues that "keep you up at night?" *

Any other comments you would like to add?

Payment Method *

ACH

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