IAMNCC Member Services Request Form

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Member Sevices Request Form

Your institution or organization*

Name of person submitting this form*

First Name

Last Name

Job Title*

Email*

Phone*

Are you inquiring about an in-person or virtual experience?*

In-person Virtual Preference is in-person but will consider virtual Unsure

Do you have a specific date/time in mind for the experience you are inquiring about?*

Yes No

What date(s)/time(s) are you looking for IAMNCC support?

Tell us about the timeline you are considering. This might include potential dates and times, the duration of your event/activity, any deadlines you are working toward, etc.

Tell us about the experience you want to provide your campus or organization.

Examples of what might be useful to share:

Who is the intended audience?
What do you hope to accomplish?
Will this be part of a broader initiative or a one time experience?
Are there details that have already been decided that you are working around or you just getting started with your planning?
Who will be involved with the planning/execution of the experience?
What questions do you have for us?