ACEC Sinior Level Membership

Comments

This field is for validation purposes and should be left unchanged.

This application is ONLY for those applying for membership in ACEC as Senior Professional Level. Completion of the application will take less than one hour assuming you have all of the required reference material listed below.

MATERIAL NEEDED:
Bio
Headshot/ jpeg, png
List of volunteerism
certificates/ dates/ expiration
List of publications (i.e., books, articles, blogs, podcasts, videos)
Two referrals for membership in ACEC/ contact information

IN ADDITION:
We will furnish upon request our Code of Ethics, Anti-Discrimination Policy, Code of Conduct and Bylaws.

TECHNICAL SUPPORT: For technical support please contact Carla Hansson at reachme@carlahansson.com

Your Personal Information

Date*

Contact Information*

First Name Last Name

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

Cell Phone*

Email*

Please enter your "What's App" phone number

If you reside outside of the United States

How did you hear about ACEC?*

Select all that apply

ACEC Member

My Company

Colleague/Coworker

Email Newsletter

Facebook

Other Social Network

Blog or Article

Please enter their name so we can thank them!

Please choose which level you are applying for:*

Senior Professional

Professional

Your Business Information

Upload Your Resume (optional)

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 128 MB.

Upload Your Bio*

Attach your professional bio. Accepted file extensions docx, doc

Accepted file types: doc, docx, pdf, pages, Max. file size: 128 MB.

Upload Your Photo (head shot)*

• jpeg/png
• Must use full color
• Size 200×200 Maximum

Accepted file types: jpg, png, jpeg, Max. file size: 128 MB.

Company Name*

Business Title (optional)

Business Contact Information*

First Name Last Name

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.*

Email*

Your Social Media Profile

Leave blank if you do not have one of the following.

LinkedIn URL*

Twitter URL

Facebook URL/Name

YouTube Channel

Your Website and Digital Presence

Website Address*

List all

Your Blog Address

List all

Guest Blogs

List all

Referrals

Below provide the names of two references who are members of ACEC

REFERENCE #1 Who referred you to ACEC?*

First Name Last Name

Phone*

Email*

Business Relationship*

REFERENCE #2 Who referred you to ACEC?

Fist Name Last

Phone

Email

Business Relationship*

Certificate/ Certifications

INSTRUCTIONS:
Identify one internationally approved and widely used certificate/certification that you have been approved to use. Include the following:

Name of program/ tool
Date

Certificate/ Certifications*

(you may upload a file next)

Upload Your File

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 128 MB.

Presentations

INSTRUCTIONS:
Describe one presentation you gave to an audience larger than 50 attendees, include the following information
1. Sponsor
2. Topic
3. Evaluation
4. Goal
5. Attendee profile
6. Delivery method
7. Was this assignment: Pro Bono, Volunteer, Barter (If yes what was the exchange), Paid (If yes what was the fee)

About Presentation:*

Your Volunteerism

INSTRUCTIONS:
Describe at least one volunteer project (may be an organization or an individual, however, family members may not be included) you are involved with. Include contact information for the headquarters/leader.
1. Describe the organizations mission.
2. What were your contributions.
3. Number of years volunteering for this organization.

Project #1:*

Project #2:

Your Education/ Schools

INSTRUCTIONS:
For each institution include the following:
1. School name and location
2. Major
3. Minor
4. For post graduate school include your dissertation topic

Undergraduate (Baccalaureate)*

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Graduate School ( i.e.) Masters, A.M. or S.M.

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Post Graduate

(Ph.D) (INCLUDE YOUR DISSERTATION TOPIC)
Click on ⊕ to add another row

School

Location

Dissertation

Who would you recommend for membership that we can contact?

(Please list two)

Name*

First Last

Phone

Email

What is their Linkedln profile URL?

What's their location?*

Have vou discussed ACEC with them? Please contact them person to inform them about ACEC prior to submitting their name.

Name

Name Name

Phone

Email

What is their Linkedln profile URL?

What's their location?

Code:

Please enter a discount code if you have one

Please sign here*

Your Signature represents the following:
1. I agree that the information submitted with this application is provided freely and carries no obligation.
2. You guarantee that the information submitted is true.
3. You agree to the rules and regulations for the use of your certification as detailed in MEECO Institute’s Code of Conduct; ethics and bylaws, disclaimer and its code of ethics listed on the ACEC (https://www.acec-association.org) and the MEECO Institute website (https://www.meeco-institute.org).
4. We may validate the information you have submitted.

By clicking submit, I agree to the processing of personal data and with the privacy policy and terms and conditions.

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ACEC Professional Level Membership

PROFILE FOR: ACEC Professional Membership

Your Personal Information

Your Business Information

General Information

Your Social Media Profile

Your Website and Digital Presence

More About You

Professional Organizations

Referrals

Certificate/ Certifications

Presentations

Your Volunteerism

Your Education/ Schools

Who would you recommend for membership that we can contact?

Contact