ACTIVE MEMBER ADVANCEMENT FORM
Requests for advancement to the MEMBER grade may be emailed to [email protected], 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 [email protected]
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; 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 [email protected] or (703) 295-6289 to check
on the status of your application.
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