Organizational Membership Form – Individual

Name*

Company*

Title*

Email*

Phone Number*

Date of Birth*

How many years of manufacturing industry experience do you have?*

How did you hear about the Young Manufacturers Network?*
FriendCompany ResourcesSocial MediaOther

Have you ever taken a MANTEC training course before? (Y/N)*
NoYes

Are you interested in being a mentor to a high school or college student? (Y/N)*
YesNo

Are you interested in being mentored by an "Industry Veteran"? (Y/N)*
YesNo

Are you interested in being a YMN Advisory Board Member or joining a committee? (Y/N)*
YesNo

What is your t-shirt size?*
XSSMLXL