Your Profile

Please fill out the form below to complete your candidate profile at the Logistics Institute.

Name*
First Last
Position/Job Title*
Company/Organization*
Primary Email*
Additional Email, if any
Primary Emails provided will be shared with your program facilitator and co-participants.*
Accept
Phone*
Location*
City State / Province / Region Country
Name on Documents
If different from the first name and last name provide above, please list how your name should appear on any documents issued to you, such as certificates.
Dietary Restrictions, if any.*
Please list restrictions for any allergies, health issues, and restrictions for religious purposes only.
Event Photography: Photographs and video footage may be taken during this program. These will be used for future marketing and publicity, on our website and in social media. Please contact us if you have any concerns or if you wish to be exempted from this activity.*
I understand.

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