Register for paid membership – The ISC2 Chapter for DFW

Name *

First

Last Name *

Last

Employer

Professional Title

Create Your Site Username *

Only lower or UPPER case letters (a-z) and numbers (0-9) and are allowed and must be more than 8 characters and numbers total.

Phone (used for vet of identity and security)

Certification Status

ISC2 Certified

(Public) working towards certification.

ISC2 Certification Number (enter 0 if not certified)

Address (required if not certified for confirmation of identity!)

City

State/Province

Zip/Postal

Address (required if not certified for confirmation of identity!)

City (required for live event planning)

Zip Code (required for live meeting and event planning)

Primary Email address (to receive notices) *

Enter Email

Secondary Email (Work Email) (required for vetting and will not be shared to public)

Password (this will be your Chapter website password) *

Eight characters minimum One lowercase letter One uppercase letter One number One special character

Enter Password

Profile Picture

Maximum file size: 104.86MB

Please attach a .jpg, .png, .gif or .mpg image. By attaching an image to use as your profile picture you assert that you have rights to use the image and it is not illegal, pornographic or violent in any way.

Your Corp Website

This website will be displayed in your profile information.

Membership Status for ISC2 Chapter-DFW

I am certified with National and need to register for the site.

I am a public person seeking certification and knowledge

Are you a student?

No

Yes

Where are you attending classes?

Link to your Social Media Profile (LinkedIN or other for vetting))

Check those which apply for which you are a member..

ISSA

ASIS

Infragard

List any other professional associations in which you are a member:

Meeting Preferences

Prefer IN-PERSON when possible

Prefer LIVE STREAMED Events

Prefer recorded On-Demand for review when available.

If interested, check the items below in which you would like to participate or contribute:

Signature (Signature implies acceptance to all terms and requirements as stated in National and Chapter Bylaws).

Clear

Date