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Interest in CUI for Wargaming Emerging Technologies Workshop
Events
Interest in CUI for Wargaming Emerging Technologies Workshop
Section 1 - Personal Identification
First Name
Last Name
Date of Birth
Month
-
Day
-
Year
Official Email (GOV/Corporate Only)
Phone
Area Code
Phone Number
Date of Most Recent CUI Training
Month
-
Day
-
Year
Section 2 - Citizenship & Nationality
Citizenship Status
U.S. Citizen
Dual Citizen
Foreign National
If you are a dual citizen, list the countries in which your have citizenship:
If you are a foreign national, list your country here:
Are you representing a foreign government or international organization?
Yes
No
If yes, explain:
Section 3 - Employment/Affiliation Status
Employment
U.S. Federal Executive Branch Employee
DoD
DoD Civilian
Non-DoD Federal Civilian
Federal Contractor
State Government Employee
Foreign Government Representative
Other
If "Other," enter here:
Organization/Agency
CAGE (if applicable)
Organization: Authorized Representative Name (Your Security Manager or Security Supervisor)
Organization: Authorized Representative Email
By submitting this form, I certify I have a lawful U.S. Government purpose and understand access will be determined based on Distribution Statements (per DoDI 5230.24) and CUI Limitation Dissemination Controls (per 32 CFR Part 2002)
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