Teaching Business Successfully (TBS) - Registration Form

First Name:

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Last Name:

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Employer Name:

Address:

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City:

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State:

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Zip:

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Preferred Email:

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Preferred Phone :

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Are you affiliated with a local college or university?       Yes         No
If so, which one?

 

Education and Certifications
College Degrees, Diplomas, Certificates, Licenses, and CertificationsAwarding InstitutionMajor / SpecializationYear Completed
Are you actively practicing within the business industry/environment?      Yes         No
Are you currently participating in consulting activities?      Yes         No
How many senior level positions have you held throught your career?    
What is the maximum number of employees you have supervised at any given time?   
Select the subject matter of your expertise and experience: (Check all that apply):
AccountingBusiness AdministrationEconomicsFinance
ManagementHuman ResourcesMarketingTaxation
If applicable, list specific areas of expertise within above field: (Compensation, Employment Law, etc.)  
Work Experience
Are you a member of the Portland Business Alliance?   Yes    No
Fee: $ ($200 Discount for Portland Business Alliance Members)
I will pay by:
Check
Credit Card