EmailMe Form - SC&RA LEADERSHIP FORUM

Limited to 15 attendees. Includes a complimentary registration the Crane & Rigging Workshop.

DEADLINE: August 13 (2024 Crane & Rigging Workshop)

Please Provide your Answers to the Following Questions

Full Name

First Last

Nickname

Title

Company Email Address

Member Company Name *

Number of Years of Employment At This Company *

Direct Supervisor (Name & Title) *

Company Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please Provide Answers to the Following Questions

Attach a copy of your current resume. *

Attach a Recommendation Letter from your supervisor explaining why you should be considered for the SC&RA Leadership Forum. *

Have you ever attended an SC&RA meeting before? *

Yes

No

Past event attendees are not eligible to receive the complimentary registration but you are welcome to apply and participate in the Leadership Forum.

Please provide a short description of your current responsibilities. *

What is your greatest professional challenge? *

What are your interests outside of work? What do you do in your free time? *

Are you involved in any other Organizations, Charities or Groups? Please list. *

Please Provide Answers to the Following Questions

Meeting Preference: *

2024 SC&RA Crane & Rigging Workshop

Why are you interested in the SC&RA Leadership Forum? *

What are you hoping to achieve within the SC&RA Leadership Forum? *

What do you believe are the three most pressing issues facing the industry and what do you envision as possible solutions? *

What would you look for in an ideal industry mentor? *

For applicants located in the European Union (EU) *

I consent that SC&RA receives, modifies, and stores my personal data

I consent that SC&RA has permission to send me newsletter emails or promo alerts

I agree to SCRA's Terms of Use and Privacy Policy

I am not located in the European Union

Signature *

Use your mouse to sign the form.