AUS Alumni CEO Club Membership Application
Name
*
First Name
Last Name
Nationality
*
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Number of Children
*
AUS ID
*
Email
*
[email protected]
Education Level
*
Please Select
Bachelor's
Master's
Doctorate
College/School
*
Please Select
School of Business Administration
College of Engineering
College of Arts and Sciences
College of Art, Architecture and Design
Company Name
*
Company Incorporation Year
*
Company Email
*
Company Telephone Number
*
Company Website
*
Business Address
*
City
*
Country
*
How many employees are in your organization?
*
Please Select
1-10
10-50
50-100
100-500
Over 500
Do you have major control of your business?
*
Please Select
Yes
No
Is it a family-owned business?
*
Please Select
Yes
No
Company annual sales revenue
*
Please Select
Less than $1 million
$1 to $10 million
$10 to $50 million
$50 to $100 million
$100 to $500 million
Above $500 million
Industry
*
Please Select
Technology
Finance
Healthcare
Education
Retail
Manufacturing
Hospitality
Real Estate
Transportation
Entertainment
Construction
Consulting
Government
Other
What is your focus for joining the AUS Alumni CEO Club?
*
Please Select
Learning
Social Networking
Events
Other
Your Awards/Achievements and Expertise:
*
Preferences (please select all that applies):
*
Breakfast Meeting
Lunch Meeting
Dinner Event
Afternoon Tea
Conference
Delegation
Wellness Session
Virtual Meeting
Other
Hobbies (please select all that applies):
*
Reading
Tennis
Golf
Cricket
Concerts
Travel
Football
Yoga
Painting
Other
Collections (please select all that applies):
*
Watches
Pens
Jewelry
Cars
Antiques
Stamps
Coins
Paintings
Artifact
Other
LinkedIn
*
Instagram
*
Facebook
*
Twitter
*
YouTube
*
Are you interested in a speaking opportunity?
*
Please Select
Yes
No
Topics you like us to cover:
*
PA/Secretary Name
*
PA/Secretary Mobile/WhatsApp:
*
PA/Secretary Email:
*
A membership fee of AED 5,000 will be applicable.
Terms & Conditions
*
Click if you agree with our Terms & Conditions
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