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Public CIO
Issues per year: 4

Public CIO focuses on intergovernmental policies, strategies and best practices for Public Sector Chief Information Officers and C-level executives in branches of state, county, municipal, special district, and federal government; higher education; K-12; and international government.

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QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Public CIO will be sent to those applicants who qualify. The publisher reserves the right to limit the number of subscriptions accepted.
1. I wish to receive Public CIO magazine FREE of charge.
Yes!
No

NOTE: In order to be considered for a subscription to Public CIO, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Public CIO.


2. Branch of Government:
Federal / National Civilian
Federal / National Defense / Military
State / Provincial
Local
Higher Education
K-12 Education
Education Policy / Other Education
Others allied to the Field (please specify)
3. Which category BEST describes your JOB FUNCTION/CLASSIFICATION?
IT Policymaker / CIO
Elected Official
Agency Management / Director / Commissioner
Senior Government Official
Other (please specify)
4. What is the primary FUNCTION of your AGENCY/DEPARTMENT?
Administrative / Business & Consumer Affairs
Dept of Commerce
Department of Defense
Dept of Energy
Dept of HUD
Dept of Labor
Dept of State
DP / Telecom or Information Services
Education (Higher Ed)
Education (K-12)
Elected Offical - Legislative / Admin / Staff
Federal / Government Independent Agency
Finance / Revenue / Accounting / Audit
Forestry / Land Mgnt / Parks & Recreation / Agriculture
Health, Welfare & Social Services, Housing & Community Development
Homeland Security
Justice-Judicial / Courts / Prosecution / Defense / Corrections
Law Enforcement / Public Safety / Fire / Emergency Services / 911
Office of the President
Personnel / Human Resources / Training
Public Works / Engineering / Public Utility / Transportation
Purchasing / General Services
Records Mgnt / Archives
Regulatory / Licensing
Wastewater / Sanitation / Environment
Zoning / Land Use / Planning
Other (please specify)
5. What AREA OF TECHNOLOGY are you most involved with?
Application Development
Web Development/Web Portal/Internet
Cyber Security/Physical Security
Telecommunications/Network Management
Mainframe Operations/Support
Desktop/Laptop/Server Support or Operations
IT Procurement
Other (please specify)
6. What is your scope of involvement/influence in the approval, purchase, selection or recommendation of information technology budgets, products or services?
Entire Enterprise or Jurisdiction
Agency / Department
7. What is your organization's total annual budget for information services, including computers and communications hardware, software, consulting, and staff?
8. For audit purposes and in lieu of a signature, please answer the following question. This information is for verification purposes only. It will not be shared with any outside parties.

What is the first letter of the state in which you were born?

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