top spacer
bottom spacer
 

CEDF-IT Membership Online Application Form

Organization, Government Agency, Company or Institute
Name of Organization:
Organization Description:
Website:
Address:
Number of members, employees or students:
IT Activities :

 

Official Representative
First Name:
Last Name:
Title/Position:
Tel No:
Fax No:
E-mail:
Office Address:


We are interested to be a member of the following committees: (Check as many)
 
1. Quality Instruction
2. Institutional Development
3. Standards & Assessment
4. Membership Recruitment &     Retention
5. Finance

 

We further understand as member/representative of the committees, we have the responsibility to attend every meeting, activity, program of the organization.
   
 
Access denied for user 'apache'@'localhost' (using password: NO)