Primary Contact
E-mail
Phone
Fax
Accounting Contact
Phone
Organization Name
Web
Mailing Address
City
State/Province/Country
Postal Code
Physical Address (ONLY IF DIFFERENT)
City
State/Province/Country
Postal Code
Organization Structure	Choose University Private Company Corporation Cooperative Government Agency QSSB Soybean State Association Non Profit Other
Organization Size	Choose 1-2 3-10 11-25 26 or more

What are your five strongest core competencies?
One	Choose Advertising Auditing/Financial Commercial Market Development Communications/Public Relations Computer/Internet Database Development Evaluation of Programs Issues Monitoring/Management Leadership Training Management Market Information Market Research Marketing Registered Lobbyist Research: Crop Science Research: Edible Products Research: Industrial Products Research: Processing Research & Development Regulatory Monitoring Strategic Planning Trade Monitoring
Two	Choose Advertising Auditing/Financial Commercial Market Development Communications/Public Relations Computer/Internet Database Development Evaluation of Programs Issues Monitoring/Management Leadership Training Management Market Information Market Research Marketing Registered Lobbyist Research: Crop Science Research: Edible Products Research: Industrial Products Research: Processing Research & Development Regulatory Monitoring Strategic Planning Trade Monitoring
Three	Choose Advertising Auditing/Financial Commercial Market Development Communications/Public Relations Computer/Internet Database Development Evaluation of Programs Issues Monitoring/Management Leadership Training Management Market Information Market Research Marketing Registered Lobbyist Research: Crop Science Research: Edible Products Research: Industrial Products Research: Processing Research & Development Regulatory Monitoring Strategic Planning Trade Monitoring
Four	Choose Advertising Auditing/Financial Commercial Market Development Communications/Public Relations Computer/Internet Database Development Evaluation of Programs Issues Monitoring/Management Leadership Training Management Market Information Market Research Marketing Registered Lobbyist Research: Crop Science Research: Edible Products Research: Industrial Products Research: Processing Research & Development Regulatory Monitoring Strategic Planning Trade Monitoring
Five	Choose Advertising Auditing/Financial Commercial Market Development Communications/Public Relations Computer/Internet Database Development Evaluation of Programs Issues Monitoring/Management Leadership Training Management Market Information Market Research Marketing Registered Lobbyist Research: Crop Science Research: Edible Products Research: Industrial Products Research: Processing Research & Development Regulatory Monitoring Strategic Planning Trade Monitoring

What are your five strongest areas of interest?
One	Choose Plant Research Agronomic Research Technology Transfer Whole Bean Utilization and Marketing Edible Oil Utilization and Marketing Edible Protein Utilization and Marketing Animal Feed Utilization and Marketing Industrial Utilization and Marketing Fuel Utilization and Marketing
Two	Choose Plant Research Agronomic Research Technology Transfer Whole Bean Utilization and Marketing Edible Oil Utilization and Marketing Edible Protein Utilization and Marketing Animal Feed Utilization and Marketing Industrial Utilization and Marketing Fuel Utilization and Marketing
Three	Choose Plant Research Agronomic Research Technology Transfer Whole Bean Utilization and Marketing Edible Oil Utilization and Marketing Edible Protein Utilization and Marketing Animal Feed Utilization and Marketing Industrial Utilization and Marketing Fuel Utilization and Marketing
Four	Choose Plant Research Agronomic Research Technology Transfer Whole Bean Utilization and Marketing Edible Oil Utilization and Marketing Edible Protein Utilization and Marketing Animal Feed Utilization and Marketing Industrial Utilization and Marketing Fuel Utilization and Marketing
Five	Choose Plant Research Agronomic Research Technology Transfer Whole Bean Utilization and Marketing Edible Oil Utilization and Marketing Edible Protein Utilization and Marketing Animal Feed Utilization and Marketing Industrial Utilization and Marketing Fuel Utilization and Marketing

Which USB programs would you like to be considered for?
One	Choose Domestic Marketing New Uses International Marketing Competitiveness Production Communications Audit and Evaluation Direct Managed Board Initiatives ALL COMMITTEES
Two	Choose Domestic Marketing New Uses International Marketing Competitiveness Production Communications Audit and Evaluation Direct Managed Board Initiatives
Three	Choose Domestic Marketing New Uses International Marketing Competitiveness Production Communications Audit and Evaluation Direct Managed Board Initiatives
Four	Choose Domestic Marketing New Uses International Marketing Competitiveness Production Communications Audit and Evaluation Direct Managed Board Initiatives
Five	Choose Domestic Marketing New Uses International Marketing Competitiveness Production Communications Audit and Evaluation Direct Managed Board Initiatives
Previous USB Experience (list years and programs)
1st Reference Organization
Contact
Address
Phone
2nd Reference Organization
Contact
Address
Phone
3rd Reference Organization
Contact
Address
Phone
Clients (Optional)

I hereby certify that this company/organization has policies in place to comply with current federal and state laws and regulations governing employment practices, including, but not limited to, Executive Order 11246. We agree to continue to abide by policies and practices of not discriminating against any employee because of race, color, creed, religion, sex, national origin, age, or disability. YES NO

Choose Password:
Verify Password:

(Please be patient as this process WILL take a moment to complete.)

Copyright 1998-2005 United Soybean Board

United Soybean Board
16640 Chesterfield Grove Road, Suite 130
Chesterfield, MO 63005
800-989-USB1 (8721)