
Name:_______________________________________ Student #:_________________
Local Phone #:_________________________
Class Standing (Circle One): FR
SO JR SR
Masters Ph.D.
Expected Graduation Date (Semester / Year):_________________________________
This Form is For (Circle One):
** ASCE / AGC Membership Requires Payment of An Annual Student Chapter Fee of $15.00 during Fall semester, or $9.00 during Spring semester. All memberships will expire August of every year. **
Please
Make Checks Payable to “ASCE”
Deliver completed application and fee to CE Office in EB 3546 to ASCE. Upon signing up for local membership, you will be eligible for national membership. Directions on how to do so will be e-mailed to you.