Virtual Campus Dormitory Consortium Membership Application

1
Member ID
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Full Name* This field is required.Your full legal name in the order provided.
First Name
Last Name
3
Gender* This field is required.
Female
Male
Other
4
Your Official Job Title* This field is required.This must be your official job title. Please DO NOT abbreviate or use acronyms.
5
Your Official E-mail* This field is required.Email address assigned to you by your organization or government. No FREE email account.
6
Cell Phone* This field is required.No calls will be placed. Will be used strictly for cybersecurity reasons and text messaging of emergency notifications.
Area Code
Phone Number
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Organization or Government* This field is required.LEGAL NAME of the Organization or Government Branch and Department
8
Official Website* This field is required.No personal website or Blog.
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Organization or Government Address* This field is required.LEGAL address of the organization or government branch and department.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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"Distinguished Member" Representative Information
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Will you be the Designated "Distinguished Member" Representative of your organization on the consortium?
Yes
No
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Full Name of Distinguished Member* This field is required.Full legal name of the Distinguished Member who will represent your organization on the consortium on a permanent, full-time basis.
First Name
Last Name
13
Official Email of Distinguished Member* This field is required.
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Resume of Distinguished Member* This field is required.Full and complete resume in chronological order.
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Max. file size: 10.6MB
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Authorized Official Information
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Are You the Authorized Official Responsible for Executing the Official Consortium Membership Agreement?
Yes
No
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Full Name of Authorized Official* This field is required.This must be the full legal name of the Authorized Official.
First Name
Last Name
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Official Title of Authorized Official* This field is required.This must be the official job title. Please DO NOT abbreviate or use acronyms.
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Official E-mail of Authorized Official* This field is required.This must be the email address assigned by your organization.
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Your Primary Interest in Virtual Campus Dormitory Consortium* This field is required.Which Standards Working Group is of PRIMARY interest to your organization? You can always switch to a different standards working group at a later time.
Please Select
Please Select
Architectural Standards
Environmental Standards
Energy Standards
Student Living Environment Standards
Open Technology-Eye On the Future Infrastructure Standards
Knowledge Delivery Technology Standards
Curriculum Standards
Principled Geopolitical Leadership Standards
Level, Quality and Method of Instruction Standards
Graduation Standards
Other Standards
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Describe Other* This field is required.
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Primary motivation for applying to join Virtual Campus Dormitory Consortium?* This field is required.To submit a more comprehensive document, insert the words SEE ATTACHED DOCUMENT BELOW in the space provided here - and upload your document on the next page.
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OPTIONAL - To submit a comprehensive statement for membership consideration, upload your document here.Submit a minimum full-page essay on why you want to join the League of Extraordinary Virtual Organization Executives.
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Max. file size: 10.0MB
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Do you have a DEEP interest in Virtual Organizations?* This field is required.
Yes
No
Seeking to Understand the power of virtual organizations
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Who Referred You to Us?* This field is required.
Please Select
Please Select
A VOMI Executive
A Consortium Executive
A Consortium Member
Linkedin
Google
Bing
Yahoo
Other Search Engine
Word of Mouth
Other
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I hereby certify that the foregoing information provided is true and correct to the best of my knowledge and, by submitting this application, I hereby authorize you to verify its accuracy.
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Let us know you are a real person* This field is required.
Should be Empty: