2017 HNBA/NACD Corporate Board Training RegistrationDate: Wednesday, September 6, 2017Time: 12:00 pm – 5:00 pm CST Name:*FirstLast Title:* Company:* Address:* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country E-mail:* Telephone:* Are you an HNBA member?*YesNo Have you registered for the 2017 HNBA Annual Convention?*YesNoDEMOGRAPHIC INFORMATION Do you identify with any of the following groups? (optional)HispanicAfrican-AmericanCaucasianAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderLGBTDisabled Gender:MaleFemalePROFESSIONAL INFORMATION Please select the choice that best describes your occupation:*AcademiaCorporationGovernmentJudgeIn-House CounselLaw FirmLaw StudentNon-ProfitSolo PractitionerOther If you selected other, please specify. Please select trainings you have attended.2016 HNBA/NACD Corporate Board Training - Chicago, IL2015 HNBA/Axon Cybersecurity Training - Boston, MA2015 HNBA/NACD Corporate Board Training - San Antonio, TX If you have participated in other corporate trainings, please specify program and dates. Have you served on a board?*Yes - Non-ProfitYes- Corporate/For-ProfitNoOther If you selected other, please explain. Please explain why you would like to attend the 2017 HNBA/NACD Corporate Board Training.* Amount: USD SubmitReset
