mwwbio.com
Open in
urlscan Pro
104.247.47.184
Public Scan
Submitted URL: https://clicks.consumer-mktg.com/email/S-18824@301192@ud18wcZ1_pQKdeG9IbLN9l8Lx8s_2PrMLnOLwsGBw-A.@
Effective URL: https://mwwbio.com/EditProfile
Submission: On January 19 via api from US — Scanned from GB
Effective URL: https://mwwbio.com/EditProfile
Submission: On January 19 via api from US — Scanned from GB
Form analysis 1 forms found in the DOM
Name: editprofile — POST /ThankYou
<form method="post" id="editProfile" name="editprofile" enctype="multipart/form-data" action="/ThankYou">
<input data-val="true" data-val-number="The field BiogNumber must be a number." data-val-required="The BiogNumber field is required." id="BiogNumber" name="BiogNumber" type="hidden" value="0">
<header class="col-md-12 logo_center">
<img class="logo" src="/Content/images/Marquis-Logo.jpg" style="width: 16%;">
</header>
<div class="clear"></div>
<div class="container wizard">
<h1 class="head_h1">biography submission form</h1>
<div id="alertProblem" class="alert alert-danger hide" style="display: none;"> Something went wrong. Please try again. </div>
<fieldset>
<p>Please complete the form below. Required fields are marked with an asterisk(<span class="required">*</span>).</p>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Your Name</h2>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>First:</label>
<div class="col-sm-5">
<input class="form-control" id="FirstName" name="FirstName" type="text" value="Lee">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Middle:</label>
<div class="col-sm-5">
<input class="form-control" id="MiddleName" name="MiddleName" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Last:</label>
<div class="col-sm-5">
<input class="form-control" id="LastName" name="LastName" type="text" value="Anderson">
</div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Occupation</h2>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Title:</label>
<div class="col-sm-5">
<input class="form-control" id="Title" name="Title" type="text" value="Supervisor">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Company:</label>
<div class="col-sm-5">
<input class="form-control" id="CompanyName" name="CompanyName" type="text" value="Montana Fish, Wildlife and Parks"> <span class="font_size11">Example: John Hopkins University; JPMorgan Chase</span>
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Industry:</label>
<div class="col-sm-5">
<input class="form-control" id="IndustryDescription" name="IndustryDescription" type="text" value="">
</div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Contact information</h2>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Primary Phone:</label>
<div class="col-sm-5">
<input class="form-control" id="PrimaryPhone" name="PrimaryPhone" type="text" value="406-444-2535">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Secondary Phone:</label>
<div class="col-sm-5">
<input class="form-control" id="CompanyPhone" name="CompanyPhone" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Email:</label>
<div class="col-sm-5">
<input class="form-control" id="EmailAddress" name="EmailAddress" type="text" value="leeanderson@mt.gov">
<div class="form-check mt-2">
<input class="form-check-input" id="chkBusinessEmail" name="EmailType" type="radio" value="business">
<label class="form-check-label" for="chkBusinessEmail"> Business Email </label>
</div>
<div class="form-check">
<input class="form-check-input" id="chkPersonalEmail" name="EmailType" type="radio" value="personal">
<label class="form-check-label" for="chkPersonalEmail"> Personal Email </label>
</div>
</div>
</div>
</div>
<div class="text-center form-group mt-4">
<button class="btn btn-primary next-step" id="step1-btn" type="button">Next Section</button>
</div>
</fieldset>
<fieldset>
<p>Please complete the form below. Required fields are marked with an asterisk(<span style="color:#FF0000;">*</span>).</p>
<p>If you would prefer to submit a written form, please download and print the PDF version of the <a href="/Data_Form_WWWorld-2018.pdf" download="">Biography Submission Form</a>. Scan your completed form and email it to us at
<a href="mailto:info@marquisww.com">info@marquisww.com</a>.</p>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Personal Information</h2>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Gender:</label>
<div class="col-sm-5 margin_top9">
<input id="Gender" name="Gender" type="radio" value="Male"> Male <input id="Gender" name="Gender" type="radio" value="Female"> Female
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Date of Birth:</label>
<div class="col-sm-2">
<select class="form-control" id="DayOfBirth" name="DayOfBirth">
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
<div class="col-sm-2 padding_none padd_margin">
<select class="form-control" id="MonthOfBirth" name="MonthOfBirth">
<option value="1">Jan.</option>
<option value="2">Feb.</option>
<option value="3">Mar.</option>
<option value="4">Apr.</option>
<option value="5">May.</option>
<option value="6">Jun.</option>
<option value="7">Jul.</option>
<option value="8">Aug.</option>
<option value="9">Sep.</option>
<option value="10">Oct.</option>
<option value="11">Nov.</option>
<option value="12">Dec.</option>
</select>
</div>
<div class="col-sm-2">
<select class="form-control" id="YearOfBirth" name="YearOfBirth">
<option>2005</option>
<option>2004</option>
<option>2003</option>
<option>2002</option>
<option>2001</option>
<option>2000</option>
<option>1999</option>
<option>1998</option>
<option>1997</option>
<option>1996</option>
<option>1995</option>
<option>1994</option>
<option>1993</option>
<option>1992</option>
<option>1991</option>
<option>1990</option>
<option>1989</option>
<option>1988</option>
<option>1987</option>
<option>1986</option>
<option>1985</option>
<option>1984</option>
<option>1983</option>
<option>1982</option>
<option>1981</option>
<option>1980</option>
<option>1979</option>
<option>1978</option>
<option>1977</option>
<option>1976</option>
<option>1975</option>
<option>1974</option>
<option>1973</option>
<option>1972</option>
<option>1971</option>
<option>1970</option>
<option>1969</option>
<option>1968</option>
<option>1967</option>
<option>1966</option>
<option>1965</option>
<option>1964</option>
<option>1963</option>
<option>1962</option>
<option>1961</option>
<option>1960</option>
<option>1959</option>
<option>1958</option>
<option>1957</option>
<option>1956</option>
<option>1955</option>
<option>1954</option>
<option>1953</option>
<option>1952</option>
<option>1951</option>
<option>1950</option>
<option>1949</option>
<option>1948</option>
<option>1947</option>
<option>1946</option>
<option>1945</option>
<option>1944</option>
<option>1943</option>
<option>1942</option>
<option>1941</option>
<option>1940</option>
<option>1939</option>
<option>1938</option>
<option>1937</option>
<option>1936</option>
<option>1935</option>
<option>1934</option>
<option>1933</option>
<option>1932</option>
<option>1931</option>
<option>1930</option>
<option>1929</option>
<option>1928</option>
<option>1927</option>
<option>1926</option>
<option>1925</option>
<option>1924</option>
<option>1923</option>
<option>1922</option>
<option>1921</option>
<option>1920</option>
</select>
</div>
<div class="col-sm-1 padding_none font_size11 margin_top9 padd_left_right"></div>
</div>
<div class="row form-group">
<div class="col-sm-5 offset-4">
<p class="fweight mszdob">*Date of Birth should be above 18 years to continue to next section</p>
</div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Business Information</h2>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span style="color:#FF0000;">*</span>Business Address:</label>
<div class="col-sm-5">
<input class="form-control" id="BusinessAddressLine1" name="BusinessAddressLine1" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>City:</label>
<div class="col-sm-5">
<input class="form-control" id="BusinessAddressCity" name="BusinessAddressCity" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label "><span style="color:#FF0000;">*</span>State/Province</label>
<div class="col-sm-5">
<input class="form-control" id="BusinessAddressState" name="BusinessAddressState" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label"><span class="required">*</span>Country:</label>
<div class="col-sm-5">
<select id="BusinessAddressCountry" name="BusinessAddressCountry" class="form-control">
<option value="Afghanistan"> Afghanistan</option>
<option value="Albania"> Albania</option>
<option value="Algeria"> Algeria</option>
<option value="American Samoa"> American Samoa</option>
<option value="Andorra"> Andorra</option>
<option value="Angola"> Angola</option>
<option value="Anguilla"> Anguilla</option>
<option value="Antigua and Barbuda"> Antigua and Barbuda</option>
<option value="Argentina"> Argentina</option>
<option value="Armenia"> Armenia</option>
<option value="Aruba"> Aruba</option>
<option value="Australia"> Australia</option>
<option value="Austria"> Austria</option>
<option value="Azerbaijan"> Azerbaijan</option>
<option value="Bahamas"> Bahamas</option>
<option value="Bahrain"> Bahrain</option>
<option value="Bangladesh"> Bangladesh</option>
<option value="Barbados"> Barbados</option>
<option value="Belarus"> Belarus</option>
<option value="Belgium"> Belgium</option>
<option value="Belize"> Belize</option>
<option value="Benin"> Benin</option>
<option value="Bermuda"> Bermuda</option>
<option value="Bhutan"> Bhutan</option>
<option value="Bolivia"> Bolivia</option>
<option value="Bosnia and Herzegovina"> Bosnia and Herzegovina</option>
<option value="Botswana"> Botswana</option>
<option value="Brazil"> Brazil</option>
<option value="British Virgin Islands"> British Virgin Islands</option>
<option value="Brunei"> Brunei</option>
<option value="Bulgaria"> Bulgaria</option>
<option value="Burkina Faso"> Burkina Faso</option>
<option value="Burundi"> Burundi</option>
<option value="Cambodia"> Cambodia</option>
<option value="Cameroon"> Cameroon</option>
<option value="Canada"> Canada</option>
<option value="Cape Verde"> Cape Verde</option>
<option value="Cayman Islands"> Cayman Islands</option>
<option value="Central African Republic"> Central African Republic</option>
<option value="Chad"> Chad</option>
<option value="Chile"> Chile</option>
<option value="China"> China</option>
<option value="Colombia"> Colombia</option>
<option value="Comoros"> Comoros</option>
<option value="Congo (Brazzaville)"> Congo (Brazzaville)</option>
<option value="Congo Democratic Republic of the"> Congo Democratic Republic of the</option>
<option value="Costa Rica"> Costa Rica</option>
<option value="Côte d Ivoirem"> Côte d Ivoirem</option>
<option value="Croatia"> Croatia</option>
<option value="Cuba"> Cuba</option>
<option value="Curaçao"> Curaçao</option>
<option value="Cyprus"> Cyprus</option>
<option value="Czech Republic"> Czech Republic</option>
<option value="Denmark"> Denmark</option>
<option value="Djibouti"> Djibouti</option>
<option value="Dominica"> Dominica</option>
<option value="Dominican Republic"> Dominican Republic</option>
<option value="East Timor (Timor Timur)"> East Timor (Timor Timur)</option>
<option value="Ecuador"> Ecuador</option>
<option value="Egypt"> Egypt</option>
<option value="El Salvador"> El Salvador</option>
<option value="Equatorial Guinea"> Equatorial Guinea</option>
<option value="Eritrea"> Eritrea</option>
<option value="Estonia"> Estonia</option>
<option value="Ethiopia"> Ethiopia</option>
<option value="Fiji"> Fiji</option>
<option value="Finland"> Finland</option>
<option value="France"> France</option>
<option value="Gabon"> Gabon</option>
<option value="Gambia"> Gambia</option>
<option value="Georgia"> Georgia</option>
<option value="Germany"> Germany</option>
<option value="Ghana"> Ghana</option>
<option value="Greece"> Greece</option>
<option value="Grenada"> Grenada</option>
<option value="Grenada"> Grenada</option>
<option value="Guam"> Guam</option>
<option value="Guatemala"> Guatemala</option>
<option value="Guinea"> Guinea</option>
<option value="Guinea-Bissau"> Guinea-Bissau</option>
<option value="Guyana"> Guyana</option>
<option value="Haiti"> Haiti</option>
<option value="Honduras"> Honduras</option>
<option value="Hong Kong"> Hong Kong</option>
<option value="Hungary"> Hungary</option>
<option value="Iceland"> Iceland</option>
<option value="India"> India</option>
<option value="Indonesia"> Indonesia</option>
<option value="Iran"> Iran</option>
<option value="Iraq"> Iraq</option>
<option value="Ireland"> Ireland</option>
<option value="Israel"> Israel</option>
<option value="Italy"> Italy</option>
<option value="Jamaica"> Jamaica</option>
<option value="Japan"> Japan</option>
<option value="Jordan"> Jordan</option>
<option value="Kazakhstan"> Kazakhstan</option>
<option value="Kenya"> Kenya</option>
<option value="Kiribati"> Kiribati</option>
<option value="Korea North"> Korea North</option>
<option value="Korea South"> Korea South</option>
<option value="Kosovo"> Kosovo</option>
<option value="Kuwait"> Kuwait</option>
<option value="Kyrgyzstan"> Kyrgyzstan</option>
<option value="Laos"> Laos</option>
<option value="Latvia"> Latvia</option>
<option value="Lebanon"> Lebanon</option>
<option value="Lesotho"> Lesotho</option>
<option value="Liberia"> Liberia</option>
<option value="Libya"> Libya</option>
<option value="Liechtenstein"> Liechtenstein</option>
<option value="Lithuania"> Lithuania</option>
<option value="Luxembourg"> Luxembourg</option>
<option value="Macedonia Former Yugoslav Republic of"> Macedonia Former Yugoslav Republic of</option>
<option value="Madagascar"> Madagascar</option>
<option value="Malawim"> Malawim</option>
<option value="Malaysia"> Malaysia</option>
<option value="Maldives"> Maldives</option>
<option value="Mali"> Mali</option>
<option value="Malta"> Malta</option>
<option value="Marshall Islands"> Marshall Islands</option>
<option value="Mauritania"> Mauritania</option>
<option value="Mauritius"> Mauritius</option>
<option value="Mexico"> Mexico</option>
<option value="Micronesia Federated States of"> Micronesia Federated States of</option>
<option value="Moldova"> Moldova</option>
<option value="Monaco"> Monaco</option>
<option value="Mongolia"> Mongolia</option>
<option value="Montenegro"> Montenegro</option>
<option value="Montserrat"> Montserrat</option>
<option value="Morocco"> Morocco</option>
<option value="Mozambique"> Mozambique</option>
<option value="Myanmar (Burma)"> Myanmar (Burma)</option>
<option value="Namibia"> Namibia</option>
<option value="Nauru"> Nauru</option>
<option value="Nepal"> Nepal</option>
<option value="Netherlands"> Netherlands</option>
<option value="New Caledonia"> New Caledonia</option>
<option value="New Zealand"> New Zealand</option>
<option value="Nicaragua"> Nicaragua</option>
<option value="Niger"> Niger</option>
<option value="Nigeria"> Nigeria</option>
<option value="Norway"> Norway</option>
<option value="Oman"> Oman</option>
<option value="Pakistan"> Pakistan</option>
<option value="Palau"> Palau</option>
<option value="Panama"> Panama</option>
<option value="Papua New Guinea"> Papua New Guinea</option>
<option value="Paraguay"> Paraguay</option>
<option value="Peru"> Peru</option>
<option value="Philippines"> Philippines</option>
<option value="Poland"> Poland</option>
<option value="Portugal"> Portugal</option>
<option value="Qatar"> Qatar</option>
<option value="Republic of Korea"> Republic of Korea</option>
<option value="Romania"> Romania</option>
<option value="Russia"> Russia</option>
<option value="Rwanda"> Rwanda</option>
<option value="Saint Kitts and Nevis"> Saint Kitts and Nevis</option>
<option value="Saint Lucia"> Saint Lucia</option>
<option value="Saint Martin"> Saint Martin</option>
<option value="Saint Vincent and The Grenadines"> Saint Vincent and The Grenadines</option>
<option value="Samoa"> Samoa</option>
<option value="San Marino"> San Marino</option>
<option value="Sao Tome and Principe"> Sao Tome and Principe</option>
<option value="Saudi Arabia"> Saudi Arabia</option>
<option value="Senegal"> Senegal</option>
<option value="Serbia"> Serbia</option>
<option value="Seychelles"> Seychelles</option>
<option value="Sierra Leone"> Sierra Leone</option>
<option value="Singapore"> Singapore</option>
<option value="Sint Maarten"> Sint Maarten</option>
<option value="Slovakia"> Slovakia</option>
<option value="Slovenia"> Slovenia</option>
<option value="Solomon Islands"> Solomon Islands</option>
<option value="Somalia"> Somalia</option>
<option value="South Africa"> South Africa</option>
<option value="Spain"> Spain</option>
<option value="Sri Lanka"> Sri Lanka</option>
<option value="Sudan"> Sudan</option>
<option value="Suriname"> Suriname</option>
<option value="Swaziland"> Swaziland</option>
<option value="Sweden"> Sweden</option>
<option value="Switzerland"> Switzerland</option>
<option value="Syria"> Syria</option>
<option value="Taiwan"> Taiwan</option>
<option value="Tajikistan"> Tajikistan</option>
<option value="Tanzania"> Tanzania</option>
<option value="Thailand"> Thailand</option>
<option value="Togo"> Togo</option>
<option value="Tonga"> Tonga</option>
<option value="Trinidad and Tobago"> Trinidad and Tobago</option>
<option value="Tunisia"> Tunisia</option>
<option value="Turkey"> Turkey</option>
<option value="Turkmenistan"> Turkmenistan</option>
<option value="Turks &amp; Caicos"> Turks &amp; Caicos</option>
<option value="Tuvalu"> Tuvalu</option>
<option value="Uganda"> Uganda</option>
<option value="Ukraine"> Ukraine</option>
<option value="United Arab Emirates"> United Arab Emirates</option>
<option value="United Kingdom"> United Kingdom</option>
<option value="United States"> United States</option>
<option value="Unknown"> Unknown</option>
<option value="Uruguay"> Uruguay</option>
<option value="Uzbekistan"> Uzbekistan</option>
<option value="Vanuatu"> Vanuatu</option>
<option value="Vatican City"> Vatican City</option>
<option value="Venezuela"> Venezuela</option>
<option value="Vietnam"> Vietnam</option>
<option value="Web Directories"> Web Directories</option>
<option value="Western Sahara"> Western Sahara</option>
<option value="Yemen"> Yemen</option>
<option value="Zambia"> Zambia</option>
<option value="Zimbabwe"> Zimbabwe</option>
</select>
</div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Education</h2>
<p>Please list the highest degree obtained, the academic institution from which it was received and the years attended.</p>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Highest Degree Earned:</label>
<div class="col-sm-5">
<select class="form-control" id="Degree" name="Degree">
<option>Associate</option>
<option>Bachelor's</option>
<option>Master's</option>
<option>Juris Doctor</option>
<option>Doctoral</option>
<option>Not Applicable</option>
</select>
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Academic Institution:</label>
<div class="col-sm-5">
<input class="form-control" id="University" name="University" type="text" value="">
</div>
</div>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Years Attended:</label>
<div class="col-sm-2">
<input class="form-control" id="YearsAttendedFrom" name="YearsAttendedFrom" type="text" value="">
</div>
<div class="col-sm-1 text-center margin_top9 padding_none">to</div>
<div class="col-sm-2">
<input class="form-control" id="YearsAttendedTo" name="YearsAttendedTo" type="text" value="">
</div>
<div class="col-sm-3 margin_top9"></div>
</div>
</div>
<div class="text-center form-group">
<button class="btn btn-secondary prev-step" type="button">Previous Section</button>
<button class="btn btn-primary next-step" type="button">Next Section</button>
</div>
</fieldset>
<fieldset>
<p>Please complete the form below. Required fields are marked with an asterisk(<span style="color:#FF0000;">*</span>).</p>
<p>If you would prefer to submit a written form, please download and print the PDF version of the <a href="/Data_Form_WWWorld-2018.pdf" download="">Biography Submission Form</a>. Scan your completed form and email it to us at
<a href="mailto:info@marquisww.com">info@marquisww.com</a>.</p>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Awards</h2>
<p>Please list the award, granting body and date received.</p>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Awards Received:</label>
<div class="col-sm-5">
<textarea cols="55" id="Awards" name="Awards" rows="4">Daily Inter Lake</textarea>
</div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Creative Works</h2>
<p>Please list published works, exhibited artwork and/or works in progress.</p>
<div class="row form-group">
<label class="col-sm-4 col-form-label">Creative Works:</label>
<div class="col-sm-5">
<textarea cols="55" id="CreativeWorks" name="CreativeWorks" rows="4">Anderson selected as FWP’s regional supervisor</textarea>
</div>
</div>
</div>
<div class="text-center form-group">
<button class="btn btn-secondary prev-step" type="button">Previous Section</button>
<button class="btn btn-primary next-step" type="button">Next Section</button>
</div>
</fieldset>
<fieldset>
<p>Please review your information below. You can make changes by clicking on the section headings. When you have finished reviewing your biographical details, please click on the “Approve & Submit” button at the bottom of the Review page.
You will have the opportunity to add more detailed information to your biography after the editorial screen process.</p>
<div class="col-sm-12 padding_none form-horizontal">
<h2>General Information</h2> Contact Information <div class="row form-group">
<label class="col-sm-4">Name: </label>
<div class="col-sm-5" id="vname"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Telephone: </label>
<div class="col-sm-5" id="vtel"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Email: </label>
<div class="col-sm-5" id="vemail"></div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Address</h2> Address Information <div class="row form-group">
<label class="col-sm-4">Business Address: </label>
<div class="col-sm-5" id="vaddress"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">City: </label>
<div class="col-sm-5" id="vcity"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">US State or Non US State/Province: </label>
<div class="col-sm-5" id="vstate"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Country: </label>
<div class="col-sm-5" id="vcountry"></div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Career and Achievement History</h2>
<div class="row form-group">
<label class="col-sm-4">Title: </label>
<div class="col-sm-5" id="vtitle"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Company: </label>
<div class="col-sm-5" id="vcompany"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Industry: </label>
<div class="col-sm-5" id="vindustry"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Creative Works: </label>
<div class="col-sm-5" id="vworks"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">Awards:</label>
<div class="col-sm-5" id="vawards"></div>
</div>
</div>
<div class="col-sm-12 padding_none form-horizontal">
<h2>Education</h2>
<div class="row form-group">
<label class="col-sm-4">Highest Degree Earned: </label>
<div class="col-sm-5" id="vdegree"></div>
</div>
<div class="row form-group">
<label class="col-sm-4">University </label>
<div class="col-sm-5" id="vuniversity"></div>
</div>
</div>
<div class="text-center form-group">
<button class="btn btn-secondary prev-step" type="button">Previous Section</button>
<button class="btn btn-success" type="submit">Approve & Submit</button>
</div>
<p>Submission of this data form by the individual under consideration for inclusion constitutes permission to MARQUIS Who's Who to publish the information in print, Electronic database, or other form and distribute such information
for publication by other parties. The editors reserve the right to select appropriate material with MARQUIS Who's Who style, standards, and limitations of space. In the event of errors in the publication, the sole responsibility of MARQUIS
Who's Who will be to correct such errors in succeeding editions of the publication. Such correction is in lieu of any other remedy. MARQUIS Who's Who expressly disclaims all other liability for loss or incidental or consequential damage
whether arising from negligence, contract, or other cause to any party for errors in publishing. By submitting this data request form, you agree to be bound by the terms of our Privacy Policy, available
at <a href="http://www.marquiswhoswho.com/privacy-policy" target="_blank">www.marquiswhoswho.com/privacy-policy</a>.</p>
<p>Submitting your information is safe. Our secure server software (SSL) is the industry standard and among the best available today for secure information transactions. It encrypts personal information, such as name, address, phone,
and other information so that such data cannot be read as the information travels over the internet.</p>
</fieldset>
</div>
<footer>
<div class="container text-center">
<a target="_blank" href="https://www.marquiswhoswho.com/terms-and-conditions">terms & Conditions</a> | <a target="_blank" href="https://www.marquiswhoswho.com/privacy-policy">privacy policy</a> |
<a target="_blank" href="https://www.marquiswhoswho.com/contact">contact us</a>
</div>
<div class="copyright text-center"> Copyright © 2023 Marquis Who's Who Ventures LLC. All rights reserved. </div>
</footer>
</form>Text Content
BIOGRAPHY SUBMISSION FORM Something went wrong. Please try again. Please complete the form below. Required fields are marked with an asterisk(*). YOUR NAME *First: Middle: *Last: OCCUPATION *Title: Company: Example: John Hopkins University; JPMorgan Chase Industry: CONTACT INFORMATION *Primary Phone: Secondary Phone: *Email: Business Email Personal Email Next Section Please complete the form below. Required fields are marked with an asterisk(*). If you would prefer to submit a written form, please download and print the PDF version of the Biography Submission Form. Scan your completed form and email it to us at info@marquisww.com. PERSONAL INFORMATION *Gender: Male Female *Date of Birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct. Nov. Dec. 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 *Date of Birth should be above 18 years to continue to next section BUSINESS INFORMATION *Business Address: *City: *State/Province *Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo Democratic Republic of the Costa Rica Côte d Ivoirem Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor Timur) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Former Yugoslav Republic of Madagascar Malawim Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Martin Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Unknown Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Web Directories Western Sahara Yemen Zambia Zimbabwe EDUCATION Please list the highest degree obtained, the academic institution from which it was received and the years attended. Highest Degree Earned: Associate Bachelor's Master's Juris Doctor Doctoral Not Applicable Academic Institution: Years Attended: to Previous Section Next Section Please complete the form below. Required fields are marked with an asterisk(*). If you would prefer to submit a written form, please download and print the PDF version of the Biography Submission Form. Scan your completed form and email it to us at info@marquisww.com. AWARDS Please list the award, granting body and date received. Awards Received: Daily Inter Lake CREATIVE WORKS Please list published works, exhibited artwork and/or works in progress. Creative Works: Anderson selected as FWP’s regional supervisor Previous Section Next Section Please review your information below. You can make changes by clicking on the section headings. When you have finished reviewing your biographical details, please click on the “Approve & Submit” button at the bottom of the Review page. You will have the opportunity to add more detailed information to your biography after the editorial screen process. GENERAL INFORMATION Contact Information Name: Telephone: Email: ADDRESS Address Information Business Address: City: US State or Non US State/Province: Country: CAREER AND ACHIEVEMENT HISTORY Title: Company: Industry: Creative Works: Awards: EDUCATION Highest Degree Earned: University Previous Section Approve & Submit Submission of this data form by the individual under consideration for inclusion constitutes permission to MARQUIS Who's Who to publish the information in print, Electronic database, or other form and distribute such information for publication by other parties. The editors reserve the right to select appropriate material with MARQUIS Who's Who style, standards, and limitations of space. In the event of errors in the publication, the sole responsibility of MARQUIS Who's Who will be to correct such errors in succeeding editions of the publication. Such correction is in lieu of any other remedy. MARQUIS Who's Who expressly disclaims all other liability for loss or incidental or consequential damage whether arising from negligence, contract, or other cause to any party for errors in publishing. By submitting this data request form, you agree to be bound by the terms of our Privacy Policy, available at www.marquiswhoswho.com/privacy-policy. Submitting your information is safe. Our secure server software (SSL) is the industry standard and among the best available today for secure information transactions. It encrypts personal information, such as name, address, phone, and other information so that such data cannot be read as the information travels over the internet. terms & Conditions | privacy policy | contact us Copyright © 2023 Marquis Who's Who Ventures LLC. All rights reserved.