Membership Category: Professional Senior Upgrade from to

Transcription

1 Professional & Senior Associate Member Schloßstraße 38 D Düsseldorf Phone: +49 (0) Membership Category: Professional Senior Upgrade from to Last Name: Mr Mrs First Name: Middle Initial: Title or Position: Company: Street Address: Postal Code, City: Country: Phone, Mobile: Fax: Web-site: Date of Birth: How did you hear about FCSI? Referred by (Name & Company): Dues Membership in FCSI is recorded in the name of the individual. A non-refundable processing fee is due with Professional and Senior Associate applications. After acceptance, you will be billed for annual dues. All funds must be in Euro. After approval of the Directors of the FCSI EAME Board of Trustees, you will receive an invoice for your membership fee based on the current membership fee level. See attached membership fee list. Acknowledgment I agree that all information given FCSI Europe is complete and correct. I further agree to provide additional information, if requested by FCSI Europe. I shall conduct my activities in accordance with FCSI s Objectives and FCSI s Code of Conduct. I further waive and release all claims, demands and actions that I now or in the future may have against FCSI Europe, is officers, directors, members and employees for any act or omission in granting or denying membership in FCSI. I hereby acknowledge that I qualify, to the best of my understanding, for the membership category for which I am applying. Date, Signature: 1

2 Highest Level of Education College/ Professional School: City/Country: Degree: Major: Duties/Responsibilities Number of years/months of experience as a consultant: Number of years/months of experience in the foodservice industry: Do you or your company receive any monetary benefit or other consideration from the sale or promotion of equipment or other product?: If yes, please explain: Employment History Begin with most recent. You may wish to attach a resume or a separate sheet with additional employment history. 1. Former Employer/ Business E./B. Name: Address: Contact Person: Your Responsibilities: 2. Former Employer/ Business E./B. Name: Address: Contact Person: Your Responsibilities: 2

3 Assignment/Project Reference Please include any brochures/publications about this project, if available. Assignment/Project Reference 1 Your title Assignment/Project Reference 2 Your title 3

4 Assignment/Project Reference 3 Your title Endorsements Professional and Senior Associate Members applicants must be supported in their application by two existing FCSI Professional Members (not being their employer, employee or partner). Names of Endorser (must be current FCSI Professional members): 4

5 Areas of Expertise Accounting & Controls Architectural Design Business Strategy Concept Development Contract Monitoring Design of Kitchens - Food Production Facilities Dietary/Nutrition Distribution & Procurement Energy & Environment Finance Raising/Corporate Finance Food Safety & Hygiene Franchising Human Resources Information Technology Systems Interior Design Invitation to Tender Laundry Design Litigation Support/Expert Witness Management Recruitment & Development Market & Financial Feasibility Studies Marketing & Promotion Menu & Recipe Development Operating Procedures & Systems Operations Review Quality Management Rating Advisory, Certified Training Other (please specify): Market Segments Airport Facilities Amusement and Theme Parks Armed Forces Branded Concepts Business & Industry Catering/Foodservice Casinos Clubs Colleges and Universities Convenience Stores Convention Centers Correctional Facilities/Prisons Cruise Lines Family Restaurants Fast Food Restaurants Fine Dining Government Services Hospitals Healthcare Hotels/Motels In-flight Catering Leisure Facilities Primary and Secondary/Independent Schools Residential Care Resorts Retail Sports Arenas Supermarkets Theme Restaurants Tourism Transport (Trains/Coaches) Other (please specify): 5