ACTIVE MEMBER ADVANCEMENT FORM

Requests for advancement to the ASSOCIATE MEMBERor MEMBER grade may be emailed to , or mailed to 1801 Alexander Bell Dr., Reston, VA20191. 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 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______

Applicants requesting to upgrade to ASSOCIATE MEMBER grade mustlistthe names and addresses of 3 references familiar with your work.
Applicants for admission or advancement to theMEMBER grademust list the names and addresses 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; OR

2)Founder Society (ASME, IEEE, AIME, or AIChE) members in comparable grades acceptable to the Membership Application Review Committee (MARC); OR

3)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 or (703) 295-6289 to check on the status of your application.

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