FUTURO Employer Advisory Board (EAB) Application Form

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Please complete this form if you are interested in becoming a member of the FUTURO Employer Advisory Board. The cost for participation is $300 per year. In-kind contribution or waivers may be considered in lieu of fee for EAB Membership is available for sponsors and/or non-profit organizations. If you have any questions, please contact Jennifer Novo at 615.601.0783 jennifer.novo@futuroisnow.com or EAB chair Robert Wilson robert.wilson@cultureshiftteam.com.

Company / Organization *

Who will represent your organization on the EAB? Please provide full name. *

Title / Position *

Phone Number *

Email *

Mailing Address *

Please select fee: *

$300

Included in current sponsorship agreement with Futuro Inc.

Inquire about in-kind support for eligible non-profits, nonprofit, or small businesses

Please send invoice to *

EAB Representative

Billing Contact (please provide information below)

Fees Waived (Sponsor, small business or nonprofit)

Will your organization participate in our Fall and Spring Conference?

Yes, we are interested in participating in both conferences

We are interested in participating, but will need to confirm later

We are unable to participate

Clear selection

Billing Contact Name (if different than above)

Billing Contact Phone

Billing Contact E-mail

Billing Address

Submit

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