NPA Registration Form

Partners

Network Professional Association

New Registration & Member Application

Complete the form below to associate yourself with the Network Professional Association. After completion of this form and any required payment, you will receive a confirmation email containing further information about the NPA and your access.

Join other members of the IT community, sponsors, and parties interested in the work of the Network Professional Association. By registering NPA will bring news and opportunities for the distinguished network professional; contact you about upcoming projects and activities.

For information on Membership click the menu above.

Name: First*	Mi Last*
Home Phone
Mobile/Cell
Work Phone	Ext.

Provide valid email address for NPA communications here(*required):
Email address*

Referral Source: Source NPA# (if any):

Type of membership

Professional Member ($125 US per year) *explain*
      Professional Member ($230 US 2-years)
      Professional Member ($315 US 3-years)
Community Member ($40 US per year) *explain*
      Community Member ($70 US 2-years)
      Community Member ($90 US 3-years)
Executive Member ($1000 US per year) *explain*

For multiple membership registrations or items not listed contact the NPA Office.

Method of Payment

Online Credit Card (Visa, MasterCard, American Express)
Pay by Postal Mail
Pay by Telephone using Credit Card -- (888) NPA-NPA0

NPA Special Offers List
Periodically the NPA comes across great special offers and excellent useful information on products and services we believe will be helpful in the practice of networking. The NPA sends these network related special offers via electronic mail to our 3rd party opt-in email list. Offers include items such as discounts on events, special incentives on services, hardware/software discounts, and product information from various vendors.

Your email and contact information will never be directly provided to any vendor. The Network Professional Association (NPA) never sends unsolicited email. You will only receive 3rd party special offers email from the NPA because you opted-in to receive offers from carefully selected marketing partners. All email offers are clearly marked as originating from the NPA. All email includes the instructions to be removed from the 3rd party opt-in list.

Do you accept email information from third parties, the NPA Special Offers List?

I would like to be included in NPA directories: Yes No

Home Address*

Address

City*
State
Province
Zip*
Country

Company

Employer Name*
Number of Employees	(best estimate in a whole number)
City*
State
Province
Zip*
Country

PROFESSION INFORMATION

The following information is used in aggregate to provide a demographic profile of NPA membership. Contact the NPA office to get a current copy of this report.

Are you an employed Network professional?
How many years experience as a Network Professional?

Professional Title*

Which best describes your Information Technolgy job function:

Computer Network Specialist

Cloud Computing Engineer

Computer Support Specialist

Database Administration

Information Technology Leadership

Information Security Specialist

Software/Application Development

Web Developement

Front End Developer Web Administrator Web Developer Webmaster Education / Training

Describe your Organization:

IT Services/Consulting (with emphasis on...)

Carrier Services/Utilities

Agriculture & Forestry/Wildlife

Natural Resources/Environmental

Manufacturer
Government / Military
Non-profit / Trade Assn.
Real Estate & Housing

Food & Hospitality

Health Services

Safety/Security & Legal

Gaming

Finance / Insurance

Transportation

Education

Aerospace
Business Services

Building / Construction Services

Personal Services

What is your highest Level of Completion in IT Education?
	None High School Degree Technical School Certificate IT Industry Certificate IT Industry Certification Higher Education Degree (Bachelors) Higher Education Advanced Degree (Masters, PhD) NPA Certified Network Professional

Tell us about your IT Persona, your position in your career lifecycle?

Community College/Technical School/High School Student

working on your potential career track

College/University Student

building business connections; expanding your practical knowledge of IT; looking for tips to success

Military/Military Transition

taking advantage of your current training and are looking for that next opportunity; building business connections; expanding your practical knowledge of IT; looking for tips to success

Accomplished Academia or Professional in IT

expanding your business & IT experience; leads and manages teams; building your communication skills; meet and link with likeminded professionals

Fellow of the IT Profession

connect seasoned Business & Academia IT leaders as mentors; giving to the development of others; amplify professionalism as career direction; publish and expand recognition

Please affirm your understanding of the NPA principles of ethics and privacy.

I agree to be bound by the NPA Code of Ethics

I accept the NPA Privacy Statement

Please affirm your understanding of the NPA refund policy.

I understand that a full refund, less a $10 administrative fee, may be granted for memberships canceled within 30 days of a new member application. Cancellation/Refund Policy

Please affirm this is the correct application for you.

I am applying as an IT/Network Professional, NOT applying for the Nurses Professional Association, Nurse Practitioner Association, or other organizations of similar names.

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