2019 Industry Affiliates Council Application
Membership to the Computer Science and Engineering Industry Affiliates Council (IAC) is granted on a company (not individual) basis. We request that you provide us with two designated representatives, a primary and alternative representative who will attend IAC meetings, as well as the appropriate administrative contact. Please submit completed form to cscicomm@umn.edu.
Company Name *
Your answer
Description of Primary Business *
Your answer
Address *
Your answer
Administrative Contact Information
Administrative Contact Name *
Your answer
Administrative Contact Title *
Your answer
Administrative Contact Email *
Your answer
Administrative Contact Phone *
Your answer
Company Representative Information
Delegate to IAC meetings, if other than indicated above
Company Representative Name
Your answer
Company Representative Title
Your answer
Company Representative Email
Your answer
Alternate Company Representative Information
Alternate Representative Name *
Your answer
Alternate Representative Title *
Your answer
Alternate Representative Email *
Your answer
Signature *
Required
In order to better align our member’s interests and needs, please mark your areas of interest:
Student Recruitment (check all that apply)
Collaborating with the department on research. Which research areas or topics are of most interest to you (check all that apply)
Continuing education for our employees
Advancing the field of computer science
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