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Communiqué Intelligence Panel Registration Form
We appreciate your interest in the Communiqué Intelligence Panel. Please complete this form carefully. Only shortlisted candidates will be contacted.
What is your first name?
*
What is your last name?
*
Your email address
*
Your gender
*
Your gender
A
Male
B
Female
C
Prefer not to say
Your age range
*
Your age range
A
18 - 20
B
21 - 25
C
26 - 30
D
35 - 40
E
41 and over
What best describes the industry you work?
*
What best describes the industry you work?
A
Finance
B
Technology
C
Creative Economy (Film, Music, Arts and Literature, Publishing, Creator Economy)
D
Health and Medicine
E
Public Service/ Government
F
Food and Wellness
G
Journalism and media
H
Entrepreneurship
What’s your job title?
*
What’s your job title?
A
Graduate and entry-level professional
B
Mid-level professional
C
Senior level
D
C-Suite executive and founder
Please estimate your total monthly income
*
Please estimate your total monthly income
A
Under $100
B
$100 – $500
C
$500 – $1,000
D
$1,000 – $5,000
E
$5,000 – $10,000
F
Over $10,000
G
Prefer not to say
What sectors are you most interested in providing data for?
*
What sectors are you most interested in providing data for?
A
Creator tools and technology
B
Music and audio
C
Video and film
D
Gaming and interactive content
E
Education and e-learning
F
Fashion and lifestyle
G
Comedy and entertainment
H
Journalism and news media
I
Food, Health and Wellness
J
Other (please specify)
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