Please fill this out only if you have not done so previously.

Name

Last First M.I.

Current Position/Title

Name of Firm/Organization

Business Address

City State Zip

Business Phone ( ) -

E-mail address: (required for communications)

Do you have any of the following degrees?
Associate B.A. B.S. Masters M.B.A Ph.D.

How much project management experience do you have?
Less than 1 year 2 years 3 years 5 years 10 years or more

How many years have you managed entire projects?
Less than 1 year 2 years 3 years 5 years

What type of projects do you work on? (Check the most common)

Information Systems New Product Development Engineering
Marketing Construction Process Improvement Operational
Compliance Other

What is the average time duration of your projects?
3 months 6 months 9 months 1 year 2 years 3 years 4 years 5 years

What is the average budget of your projects?
Less that $50K $100K $200K $300K $500K $1 M
$2 M over $3M