XIX CHRO Academy Registration

By submitting this form, you are selecting the October 13-14, 2021 dates.

First Name *

Last Name *

Title *

Organization *

Address *

City *

State *

Zip Code *

Phone *

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) *

Payment Method *

Check

ACH/Transfer

Credit Card (PayPal)

Number of years in Current CHRO/"Top HR" Job *

Is your organization Public, Private, or PE owned? *

What were your organization's revenues last fiscal year? *

What is your organization's Industry? *

What is the size of your organization's workforce? *

How many countries does your organization currently operate in? *

What is the most key issue that "keeps you up at night"? *

Any other comments you would like to add?

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