In lieu of a signature, we require a unique identifier used only for subscription verification purposes. What is the month of your birth?*

-- Please Select -- Refuse to Answer January February March April May June July August September October November December

Is your direct employer a government agency/institution or a private company selling products/services to the government?*

-- Please Select -- Government Agency/Institution Private Company

At which level of government do you work?*

-- Please Select -- 01 - State 02 - City/Town 03 - County 05 - Regional/Special District 99 - Other

Which best describes your primary job function?*

-- Please Select -- 01 - Governor, Mayor, County Executive/Manager, City Manager 02 - Cabinet Member, Secretary, Commissioner 03 - Department/Agency Head/Administrator 04 - Treasurer, Attorney General, Comptroller, Executive Director 05 - CIO, CTO, CFO, COO, Chief of Staff 06 - Fire/Police Chief, Superintendent 07 - Senator, Representative, Delegate, Assembly Member 08 - Council Member, Alderman, Selectman 09 - Executive/Legislative Policy Advisor/Analyst/Auditor/Staff 10 - Legislative Liaison/Counsel 11 - Department/Agency Management 12 - Office/Program Management 13 - General Administration/Operations Management 14 - Supervisor, Senior Management 15 - Professional/Career Management 99 - Other

In which of the following areas do you have personal involvement/responsibility?* (select ALL that apply)