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Membership Application

Candidate Information

Our annual membership period runs from January 1 through December 31.

Name(Required)

First Last

Home Address(Required)

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

Mobile Telephone(Required)

Business Name

Business Address

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

Business Telephone

Personal Email(Required)

Website

Date of Birth

Nomination Type(Required)

Member Recommendation

Self-Nominating

Recommended by:(Required)

Email(Required)

Please enter the name(s) of any SWG members with whom you are acquainted:

Use the +plus sign for additional members.

First Name

Last Name

Curriculum Vitae(CV) or Resume.(Required)

Please be sure your CV or resume includes ALL the information requested in this application. Otherwise, please fill in the fields below. Incomplete applications will not be considered.

Max. file size: 64 MB.

Your Profession(Required)

Geographical area(s) of specialization:(Required)

Topical field(s) of specialization:(Required)

Education:

Please list any University or college, major field, degrees awarded, and dates, as well as any training not included on your CV/resume.

Current Employer/Organization, Position, and Title:

Please list any employer/organizations, positions, dates and titles not included on your CV/resume.

Previous Professional Experience:

Please list any previous professional work experience not included on your CV/resume.

Professional affiliations, including any offices held:

Please list any professional associations not included on your CV/resume.

Travel, Exploration, Foreign Study and/or Residence

If not included on your CV/resume, please list no more than 10 by most recent. Include country, purpose, and dates.

Professional Production:

Please list no more than 10 of your most significant and representative works starting with most recent. For publications and papers, please give full title and reference information. For creative works, please give details of medium, and location of exhibition.

Honors, Fellowships and Other Significant Achievements:

Please list any honors, fellowships and other achievements not included on your CV/resume.

How did you hear about SWG?(Required)

In 500 words or less, Why do you want to be a member of SWG?(Required)

Applicant Signature(Required)

Date(Required)