CII Member Application
CII Member Application
Primary Contact
Name Nickname
Title
Address
Phone Email
CII considers each applicant on a case-by-case basis to ensure that the CII membership remains a network of industry
peers. Please list the CII member companies and the primary contact with which you do business.
1.
2.
3.
Membership Application
Customer/Client Types
Location of Headquarters
In accordance with their commitment to CII core process participation, members are required to designate key personnel to serve in
various leadership and administrative positions. An individual may be designated for more than one, but not more than two,
positions. Positions with red titles are required to be provided at time of application.
Board Advisor - Primary Representative: Individual should have the organizational authority to take a leadership role in the
development of a CII participation agenda. This includes the development and execution of an implementation strategy and the
authority to influence organizational change. (Meetings: Two Board meetings and one Annual Conference)
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Board Alternate(s) (minimum of one) - Designated Substitute: Individual(s) are part of member organizations CII leadership team. They may
attend meetings or vote on behalf of the organization. (Meetings: two Board meetings and one Annual Conference)
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Online Administrator (minimum of one) - Individual(s) provide member access to the CII website to personnel within the member
organization, keeping personnel access control within each member organization.
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Communications/Marketing Contact (minimum of one) - Individual(s) that facilitate internal/external communications and/or
market and brand your organization.
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Membership Application
Individual(s) participate in sector initiative topic selection, membership sector growth, sector communications, and
the full development/delivery of sector educational products and services as well as key performance indicators.
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Membership Application
Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Provide your organizations ethics statement below or attach your code of conduct.
CII encourages the exchange of ideas and information between its membership and the
academic community. CII members shall refrain from business development activities,
including social or recreational, activities during CII events, sponsorship of events at CII
functions, and the use of CII member and meeting rosters for marketing or sales purposes.
CII will not be bound by terms and conditions that differ from or add to this signed application
for membership.
Submission Date:
Name Title
Signature
Your signature represents that you have read and accept the obligations of CII membership on behalf
of your organization, and that if accepted, your organization will comply with the obligations and
policies of CII membership.
Signed applications transmitted by PDF, fax, or mail are acceptable. Unsigned applications cannot be processed.