ASCE UTA - Membership Form

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PLEASE READ ALL THE DESCRIPTIONS CAREFULLY!

The form has 3 sections:
- Section 1 is mandatory to become a member of ASCE UTA.
- Section 2 is optional and is to be filled out if you are a current member of National ASCE
- Section 3 is for Officers' Use ONLY. Please ask an officer to complete Section 3 AFTER you have completed Section 1.

*Seek assistance of an officer when in doubt*

Cash or Card?

Cash

Card

Clear selection

For how many semesters would you like to sign up for with the Local Membership? *

2 Semester ($15.00)

1 Semester ($10.00)

Are you a New Member? *

Yes, this is the first time I am applying for ASCE Membership

No, I am just renewing my ASCE Membership

UTA ID: *

This is you Mavs 1000 Number

Last Name: *

First Name: *

Middle Name:

Gender *

Male

Female

Other

Do not wish to disclose

Date of Birth *

YYYY

MAVS Email *

Please provide your MAVS EMAIL ONLY. ASCE will NOT communicate with you on any other domain.

Alternative email (not school email) *

Phone Number *

XXX-XXX-XXXX

Degree Pursuing *

Bachelor's of Science (BS)

Master's of Science (MS)

Doctor of Philosophy (PhD)

Classification *

Freshman

Sophomore

Junior

Senior

Graduate

PhD

Expected Graduation Date *

Please select the FIRST DAY of the month in which you anticipate to graduate.

YYYY

What is your National ASCE Membership ID?

The is optional. Please fill this only if you are a National Member of ASCE. Seek assistance of an Officer if not sure.

Password *

FOR OFFICERS' USE ONLY. Please enter the code IFF the prospective candidate/student has paid the dues.

When did you become an active member of National ASCE?

Required IF you are a National Member of ASCE.

YYYY

Submit

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