ACTIVE MEMBER ADVANCEMENT FORMRequests for advancement to the MEMBER grade may be emailed to memapp@asce.org, faxed to (703) 295-6335, or mailed to 1801 Alexander Bell Dr., Reston, VA 20191. Simply complete and return the form below. Be sure to include a copy of a current resume/CV showing responsible charge of engineering work. . If you are unable to obtain the required references, please contact us at memapp@asce.org or (703) 295-6289 for further assistance.

First Name: _________ _________________________________________________________

Last Name: _____________ ______________________________________________________

ASCE Member #: _________________________________________________________

Email: ___ ______________ Old Email: ______________________________

Phone: ____________________________________________________________

Fax: _________________________________________________________________________

Current Member grade: Affiliate Member ____________ Associate Member____________

In most cases, an applicant for admission or advancement to the MEMBER grade must supply the names and address of three (3) ASCE Members who have personal knowledge of the applicant’s work. Please indicate below the referees from whom we may request written references, if needed. If you are unable to provide three ASCE references, the following may be substituted:

1) Legally registered engineers or land surveyors; OR2) Founder Society (ASME, IEEE, AIME, or AIChE) members in comparable grades acceptable to the

Membership Application Review Committee (MARC); OR3) Members of engineering societies with which ASCE has an International Agreement of Cooperation in

comparable grades acceptable to the MARC

Please indicate reference information below. Please print or type all requested information.

REFERENCE NAME ______________________________

Position or Job Title___________________________

Mailing Address _______________________________________________________________

E-Mail (if known) _____________________________

ASCE Member? ____ Yes ____ No ASCE Member #: ________________

Registered Engineer/Land Surveyor? ____ Yes ____ No

Country/State/ Reg, ___________________ License # (if known) ___________________

Other Engineering Society Membership _____________________________________________

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REFERENCE NAME __________________________

Position or Job Title___________________________

Mailing Address _______________________________________________________________

E-Mail (if known) _____________________________

ASCE Member? _____ Yes ____ No ASCE Member #: ___ ______________

Registered Engineer/Land Surveyor? ___ Yes ____ No

Country/State/ Reg, _________________ License # (if known) ____________

Other Engineering Society Membership _____________________________________________

REFERENCE NAME ______________________________

Position or Job Title___________________________

Mailing Address _______________________________________________________________

E-Mail (if known) _____________________________

ASCE Member? _____ Yes ______ No ASCE Member #: __________________

Registered Engineer/Land Surveyor? ________ No

Country/State/ Reg, ___________________ License # (if known) ________________

Other Engineering Society Membership _____________________________________________

*NOTE: Your request for advancement will be reviewed by the Membership Applications Review Committee (MARC) at their next bi-monthly meeting. We will respond to your request at that time. In the interim, please contact the Applications Administrator at memapp@asce.org or (703) 295-6289 to check on the status of your application.

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