Questions marked with an asterisk (*) are mandatory.

1	* *Your contact details (Please complete all fields.) Name Company Address 1 Address 2 City/Town State/Province Zip/Postal Code Country Email Address

2	* *Your Current Job Title Level Executive Officer / Director (CEO,CFO,CIO,etc) Senior Executive or Professional Mid-level Executive or Professional Business Operations Support (Mkt,Fin,HR,Leg,etc) Administrative Skilled Trade Graduate / Student Other

3	* *Your Current Functional Area Accounting Administration & Support Services Advertising Construction & Trades Customer Service/Call Centre Engineering Finance Human Resources Information Technology Law Marketing Planning Procurement Public Relations Recruitment Sales Science Outsourcing Other

4	* *Your Current Industry Advertising Agriculture & Horticulture Banking Business Services Call Centre / Contact Centre Construction Education Engineering Finance & Insurance Government Health-Medical / Community Services Hospitality Information Technology Legal Services Manufacturing Personnel / Recruitment Publishing / Printing Retail Trade Sales & Marketing Scientific Telecommunications Tourism Transportation & Storage Wholesale Trade Other

5	Comments (if any)