Step 1 of 3 33% Note: All information submitted here is confidential. It will not be disclosed to anyone for any reason outside of the membership assessment of SAC. We do not sell, rent, or otherwise provide member lists to any source for any reason under any circumstances. Personal InformationName* First Last Title*Company Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Business Phone*Cell Phone*FaxEmail* Website Linked InTwitterHow did you learn about SAC?Prior memberAttended Alan Weiss eventReferred by another member I hold a CMC, CPMC, and/or CSP designation*YesNoSince you have the CMC, CPMC or CSP designation, you can move on to the next section.What year did you begin professional consulting (you received compensation as an external consultant from a client)?For how many consecutive years, as of today, have you been earning the preponderance of your income from professional consulting and related services?To speak of your expertise and results, please provide the following (fill in all those that are applicable):Referral source to SAC (name and contact information)Link to your Linked In recommendationsLink to testimonialsOtherEducation and CertificationsPlease list your education and certifications if applicable.Undergraduate degree, year and schoolGraduate degree, year and schoolCertifications/ continuing educationPlease briefly describe your last few consulting engagements.List the project objective and results achieved. If you are new to consulting, please give three ways your career can be applied to consulting and/or briefly describe your plan to launch your consulting business Membership Type Desired*Regular SAC MembershipRegular SAC Membership with Board ApprovalInternational MembershipAffiliate MembershipNote: International memberships are only available to those located outside North America. For more information about the different types of membership click here. Note: this link opens to a new window so you don't lose your place.I wish to pay by*Credit CardCheckConsulting DirectionIt is my intention to make my living as a consultant for the foreseeable future.I am looking to fulfill contract jobs or to consult in-between W2 jobs.I am willing to give back to the consulting profession and to my SAC colleagues.YesNoCode of Ethics* I assert that I have read and will follow the code of ethics for SAC. Read the code of ethics for SAC. (Link opens to new window.)Information Accuracy* I confirm that the information I am submitting to SAC is honest, accurate, and complete, and that I have never been convicted of a crime nor lost a suit or been levied a penalty in court for professional malfeasance. Additional CommentsUpon submission of this application, you will be taken to a page where you can purchase your membership. A few things to note: If you are not approved, all but the non-refundable $45 registration fee will be returned to you. If you have chosen to apply for SAC Board Approval, you will be contacted after your initial membership is approved. SAC Board Membership has a separate application process. Your 1 year subscription will one year after approval of your application, not one year after your payment clears. We will adjust the end date of your subscription as part of our approval process.