Government Technology's Public CIO
  Government Technology's Public CIO is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Government Technology's Public CIO, please answer ALL of the questions on the form below.
  The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
  Geographic Eligibility: USA, Canada


 
1. Do you wish to receive a FREE subscription to Government Technology's Public CIO?
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1a. Which Government Technology's Public CIO Magazine delivery version would you like to receive?
Digital Version     Print Version


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Agency or Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Street Address:
Department/Suite:
City:
State/Province:
Zip Code:
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Email address:
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Yes, please auto-fill my contact information for other publication qualification forms.


2. For audit purposes and in lieu of a signature, would you note the day of your birth in the following field? This information is for verification purposes only. It will not be shared with any outside parties.


3. Branch of Government: (select only one)
Federal/National Civilian K-12 Education
Federal/National Defense/Military Education Policy/Other Education
State/Provincial Others allied to the Field (please specify)
Local
Higher Education


4. Which category BEST describes your JOB FUNCTION/CLASSIFICATION? (select only one)
IT Policymaker/CIO Senior Government Official
Elected Official Other (please specify)
Agency Management/Director/Commissioner


5. What is the primary FUNCTION of your AGENCY/DEPARTMENT? (select only one)
Administrative/Business & Consumer Affairs Health, Welfare & Social Services, Housing & Community Development
Dept of Commerce Homeland Security
Department of Defense Justice-Judicial/Courts/Prosecution/Defense/Corrections
Dept of Energy Law Enforcement/Public Safety/Fire/Emergency Services/911
Dept of HUD Office of the President
Dept of Labor Personnel/Human Resources/Training
Dept of State Public Works/Engineering/Public Utility/Transportation
DP/Telecom or Information Services Purchasing/General Services
Education (Higher Ed) Records Mgnt/Archives
Education (K-12) Regulatory/Licensing
Elected Official - Legislative/Admin/Staff Wastewater/Sanitation/Environment
Federal/Government Independent Agency Zoning/Land Use/Planning
Finance/Revenue/Accounting/Audit Other (please specify)
Forestry/Land Mgnt/Parks & Recreation/Agriculture


6. What is your scope of involvement/influence you have in the purchase, selection or recommendation of information technology products and/or services? (select only one)
Entire Enterprise or Jurisdiction     Agency/Department


7. What is your organization's annual budget for information services, including computers and communications hardware, software, consulting, and staff? (select only one)
Over $100 Million $1 - $9.9 Million
$50 to $99.9 Million Under $1 Million
$10 to $49.9 Million


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* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.


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Copyright © 2008 Government Technology's Public CIO, All Rights Reserved.