Applicaton for Membership
  New Membership Reinstatement
 

Grade

 
Member SE Member Associate Affiliate
Industry Corresponding Student  
   
  First Name:
  Last Name:
  Firm/School:
  Title/Year:
  Business/School Address:
  City:
  State, Zip: ,
  Phone:
  E-Mail:
  Residential Address:
  City:
  State, Zip: ,
  Email Address:
  Please Mail to my: Office Home
  Birth City:
  Birth State or Country:
  Birth Month/Day/Year:
  Higher Education  
  School:
  State:
  Years Attended: To:
  Course of Study:
  Degree:
  Year Obtained:
  Engineering Registrations  
  Type:
  Number:
  Year Obtained:
  State:
     
  Type:
  Number:
  Year Obtained:
  State:
  Technical, Professional Memberships
   
   
  Work Experience  
  Employer:
  Years Worked: To:
  Title, Duties:
  Employer:
  Years Worked: To:
  Title, Duties:
  Employer:
  Years Worked: To:
  Title, Duties:
  Sponsors  
 

Both Sponsors are required for new applicants and student members who are upgrading their membership. (New student applicants need only list one sponsor.)

The following 2 voting Members of SEAONC (no Associate, Affiliate, Industry, or Corresponding Members) have personal knowledge of my qualifications for membership.

  Members Name:
  Members Name:
   
  Committees  
  Please select the committee you are interested in joining (Check all that apply). All members are encouraged to join and participate in committees.
 
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  Fees
  Membership dues will be invoiced to your mailing address. Send a check with the appropriate application fees to the following address:
SEAONC
74 New Montgomery Street, Suite 230
San Francisco, Ca 94105-3411
Initiation Fee
as MEMBER SE, MEMBER, Affiliate, Industry or Corresponding: $40.00
as Associate: $25.00
as Student: $10.00
Transfer Fee $15.00
SEAONC Membership Dues
Members, Members SE, Industry, Corresponding, Fellow:
$120.00 SEAONC
$87.00 SEAOC
$207.00 -$10.00 Dues subsidy-subsidized by SEAONC
$197.00 TOTAL
     
Associate Affiliate Members:
$60.00 SEAONC
$43.50 SEAOC
$103.50 -$5.00 Dues subsidy-subsidized by SEAONC
$98.50 TOTAL
     
Students:
$30.00 SEAONC
$0.00 SEAOC
$30.00 TOTAL
   
     

To view the PDF version of the SEAONC Membership Application Form click on the download button below.
download it here

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