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Applicant Information
First name
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Last name
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Biography
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Headshot
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Membership Type
Please select Membership type:
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Please Select
Full Private
Full Public/Non-Profit
Recommendations
Name of CKA Member (1) providing endorsement:
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Name of CKA Member (2) providing endorsement:
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Contact Information
Email
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Phone number
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Street address
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City
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State/Region
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Postal code
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Country/Region
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Title and Affiliation
Job title
Company name
Job Profession
Job Sector
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Affinity Group
Please select an Affinity Group that you are interested in joining:
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Arts, Culture, Entertainment & Sports (ACES)
Women's
Diversity, Equity, & Inclusion (DEI)
Health & Life Sciences Affinity Group
North Korea
Emerging Leaders
Attorneys
Investing
Public Boards
Questions
How did you first hear about CKA and what motivated you to apply?
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How will you contribute to the diversity of CKA's membership in terms of geography, demographics, perspective, and/or skill sets?
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How will you contribute to CKA's growth in terms of volunteer time, unique skills, and/or financial resources? What are you passionate about?
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Describe your accomplishments and/or leadership role in your field of endeavor.
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