1 About me2 Confirmation Name* First Last Email* Phone*CompanyJob title* Professional Bio (in third person)*Using the third person, please include details on your professional life, including what you do for a living, why you are involved in this industry and some of your recent acheivmentsStatement of intent*In 300 words or fewer, please state why you would like to join this advisory panel making note of the experience and knowledge you can bring to the tablePanel of interestState which panel you'd like to apply forHighres headshotPlease upload a large, high-quality headshot photograph of yourself (If needed, this will be used to create your online advisory bio)LinkedinPlease provide a link to your personal LinkedIn pageTwitterPlease provide a link to your twitter profileConfirmation* I am able to commit at least 3 hours of my time every 3 months to attend advisory panels and overview research documents where necessary I confirm the details I have provided above are accurate to the best of my ability I consent to AIXR using this information to contact me in regards to this position
