CHCI is excited to have you join this year's CareerLider LIVE. Please complete the following information. We look forward to connecting you with local and national employers on September 12.
Should you have any questions or concerns, please contact Estefanie Maldonado at emaldonado@chci.org.
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| Last Name * | |
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| Address * | |
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| City * | |
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| State (two-letter format) * | |
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| Zip Code * | |
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| Email * | |
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| Field of Study (if in college) | |
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| Company/Organization (if employed) | |
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| Title (if employed) | |
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| Occupation (if employed) | |
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| Please indicate your Hispanic heritage. If you are not Latino, please enter your ethnicity or "N/A." * | |
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| Age * | |
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| Gender * | |
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| Highest Level of Education Completed * | |
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| Annual Salary | |
| Less than $10,000 | | $10,001 to $30,000 | | $30,001 to $50,000 | | $50,001 to $70,000 | | $70,001 to $100,000 | | More than $100,000 |
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| By registering for this event, I agree to be photographed or videotaped for possible use in CHCI publications and other printed or online marketing materials. Enter "YES" (case-sensitive) to agree. * | |
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| * Required |
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