spacer
             
 

MEMBERSHIP APPLICATION - INDIVIDUAL

You may join SEAoT online using the form below. Or you may download and mail in your application.

To download an application in a pdf format, click here. For word format, click here.

THIS IS THE INDIVIDUAL MEMBER APPLICATION - For Corporate Membership, click here

CONTACT INFORMATION
PART 1 - Structural Engineer applicants (PEs) are only required to complete PART I of this form
 Title First Name First name required. I Last Name Last name required. Suffix
Nickname:

EMPLOYMENT
Company
Address A value is required.
Address continued
City A city required. State A state is required. Zip: Postal code required.
Work Phone
Fax
Primary Email A value is required.Invalid format. *Required field
Alternate Email
HOME ADDRESS
Home Address
City: State Zip:

How did you hear about SEAoT?
If Other Source, please specify

SEAOT MEMBERSHIP
Membership Select your membership category
Chapter Select the chapter you wish to join
Please set up your log in access. This will allow you to view and update your contact information online.
Log in (primary email address) A value is required.Email format. Please use your primary email address.
Password Password required.  
PE License Number if PE Please include
 
NO FURTHER INFORMATION REQUIRED

PART 2 - Graduate Engineer and Affiliate members MUST complete the sections below. PEs do NOT need to complete this section
EDUCATION
College/University
College Location  
Highest Degree Date

PROFESSIONAL ENGINEER REGISTRATION
State #
State #
PROFESSIONAL EXAMS PASSED
Exam
Location Date
Exam
Location Date

PROFESSIONAL EXPERIENCE
Position 1
Company 1 Date

Position 2
Company 2 Date

Position 3
Company 3 Date

SUPPLEMENTARY EXPERIENCE (Not required for Affiliate Membership Category)
Briefly describe your current positon and responsibilities as they relate to structural engineering
Briefly describe three projects you have worked on within the last three years. Include design,
dates of completion, description of project and description of your responsibilities.
 
If nothing happens, scroll up to complete the sectons marked as required