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SIAEA Membership Application (Step 1 of 3)

Step 1: Member Registration

(Associate/Student Membership: $20 per calendar year, Annual Membership: $30 per calendar year, Life  Membership: $200 one time fee)

 *Required

Choose Membership Type

Associate/Student Membership: $20 per calendar year
Annual Membership: $30 per calendar year
Life Membership: $200 per calendar year

Contact Information

First Name:*
Middle Initial:
Last Name:*
Address:*
City:*
State:*
Zipcode:*
Day Time Telephone:*
e.g: xxx-xxx-xxxx
Evening Telephone:
e.g: xxx-xxx-xxxx
Cell Phone:
e.g: xxx-xxx-xxxx
Email where you want to Receive SIAEA Correspondance:*
Password:*
Confirm Password:*
Recommended By First and Last Name (Must be an SIAEA Member):*

Qualifications

Qualifications:* Engineer
Engineer (PE)
Architect
Architect (RA)
Student
Please enter your professional license number, if applicable:
University:*
Degree:*
e.g. BE Civil Engineering, MS Electrical Engineering, ME Civil Engineering, B. Arch, M. Arch. etc.
Graduation Year:*

Employment Information

Please select the statement that most closely reflects your employment status:* I am currently not employed
I am currently not employed, but am actively seeking employment
I am employed, in an entry level position
I am employed, in a managerial position
I am employed, and a proprietor/partner at my organization
Company Name:*
If unemployed or retired please mark N/A
Company Industry Sector:*
If unemployed or retired please chek Other and mark N/A
Government or Public
Private
Construction Industry
Job Title:*
If unemployed or retired please mark N/A
Company Address:*
If unemployed or retired please mark N/A
Company Telephone Number:*
If unemployed or retired please mark N/A
e.g: xxx-xxx-xxxx
Company Email Address:*
If unemployed or retired please mark N/A
Company Services:*
If unemployed or retired please mark check Other and mark N/A
Engineering Design Consulting
Architecture Design Consulting
Project Management
Construction Management Services
List at least top two Primary Specializations, maximum top five.
Architectural Design: Urban Planning, Residential, Commercial, Hospitals, Airports, Schools, Museums, Infrastructure, Other
Engineering Design: Civil, Structural, Bridges, Tunnels, Transportation, Infrastructure, Electrical, Mechanical and HVAC, Other
Design Build and Construction: Facades, Roofing, Residential, Institutional, Infrastructure, Other
Other Specialized Services: Historic Preservation, Cost Estimating, Contracts, Peer Review, Insurance, Financing, Construction Management, Project Management, Other

Volunteer Services

Would you like to serve on an SIAEA working committee?* Yes
No
Yes, but at a later time
Working Committee Area of Interest Membership Development
New Initiatives
Seminars and Professional Development
Employment Network
Student Liaison
Events Committee


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