CIO Leadership Forum Qualification Form

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Yes, I would like to apply for membership in Cisco’s new CIO Community

          How would you like us to communicate with you?


First Name*  
Last Name*  
E-mail*   
Company*   
Country*   
Job Title*


          What is your job level?*


          Who do you report to NAME, TITLE?*
 

          What is your type of industry or  business?*


Address 1
Address 2
City
State/Province
Zip/Postal Code


        As part of the qualification process you must have a secure Cisco login:

        User Name
Yes I have a Cisco login. User Name is  
No  I do not currently have a Cisco login. Please go to https://tools.cisco.com/RPF/register/register.do to create a login.

    User Name is  
 


        Please answer at least one of the following questions and provide an example

        Are you responsible for developing business innovation at your organization?
Yes
No

          If yes, please provide an example

        Do you manage and improve IT operations?
Yes
No

          If yes, please provide an example

        Are you responsible for aligning IT with your organization’s strategic goals?
Yes
No

          If yes, please provide an example


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