SITE Membership Application
Personal information:
Please complete the following information. Fields marked with a red asterisk are required for processing.
*
(required field)
*
First Name
*
Last Name
Professional Designations
*
Job Title
*
Company Name
*
Address
*
City
*
State / Country
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
CANADA
*
Zip Code
*
Phone Number
*
e-Mail Address
SITE Resource Network
Please check a
maximum of 5 areas of expertise that you would like noted in the directory and that you are willing to share with other SITE members.
Product Knowledge:
Specialized Skills/Knowledge:
Financial Services
Call Centers
Life & Health
General Business Skills (communication, time management, interpersonal)
P&C Personal Lines
Conference Planning
P&C Commercial Lines
Corporate University
Property/Marine
Customer Service
Workers' Compensation
Learning Organization
Insurance Technical Areas:
Organizational Development
Claims Training
Performance Consulting
Sales Training
Process Improvement
Underwriting Training
Project Management
Loss Control/Prevention Training
Simulations/Role Play
Curriculum Development:
Team Building
Curriculum Development: all areas
Executive Development
Adult Learning Principles
Training Media/Methodology:
Evaluation/ROI
Training Media/Methodology: all areas
Instructional Design
Paper-based Training Materials
Needs Analysis
Software/Technology
Performance Objectives
Video-based Training
Training Management:
Web-based Training (Asynchronous)
Performance Management
Virtual Classroom (Synchronous)
Training Department Design & Administration
Training Staff Development
Type of Memberships
Each member organization must have one designee (voting) member, all others
are Associate members.
Click
here
for a description of each membership type.
*
Dues:
Designee (voting member) $125
Associate (organization currently has a voting member) $95
Retiree $45
Student $95
Corporate
-no fee-
(Be sure to select
'corporate'
under
'payment options'
--only available if your organization has a corporate membership in place)
Payment Options
Membership fees may be paid by mail, or by secure online credit card payment. Please choose an option below.
*
Payment Type
Mail Payment -
An invoice will be generated that you can print for your records.
Online Payment -
A receipt will be generated that you can print for your records.
Corporate -
Your organization maintains membership. No additional payment required.
Questions? Please contact SITE at (623) 547-6401 or by fax (623) 547-6814 or
e-mail:
ed@insurancetrainers.org
By submitting this application
I agree to comply with the membership policies of SITE
(see the policy by clicking here to review)
and understand that my membership may be cancelled if I violate these policies.
