MEMBERSHIP APPLICATION - CORPORATE

You may join SEAoT online using the form below. Or you may download and mail in your application.

To download an application in a pdf format, click here. For word format, Click here.

THIS IS THE CORPORATE MEMBER APPLICATION. For individual membership, click here

CONTACT INFORMATION  
 Title First Name I Last Suffix
Nickname:
EMPLOYMENT
Company:
Address
Address continued
City
State Zip
Work Phone
Fax
Primary Email
Alternate Email
HOME ADDRESS
Home Address
City:
State Zip
SEAOT MEMBERSHIP
Membership
Select your membership category
Chapter
Select the chapter you wish to join
New members selecting the join the Fort Worth Chapter will be intially assigned to the North Central
Texas Chapter until the Fort Worth Chapter is fully functional.
Please set up your log in access. This will allow you to view and update your contact information online.
Log in (primary email address)
Please use your primary email address.
Password
EDUCATION
College/University
College Location
 
Highest Degree
Date
PROFESSIONAL ENGINEER REGISTRATION
State
#
State
#
PROFESSIONAL EXAMS PASSED
Exam
Location Date
Exam
Location Date
REFERENCES (Licensed Professional Engineering Practicing Structural Engineering in Texas
Reference 1
Tel
Email
Is person a SEAoT Member
Reference 2
Tel
Email
Is person a SEAoT Member
PROFESSIONAL EXPERIENCE
Position 1
Company 1
Date
Position 2
Company 2
Date
Position 3
Company 3
Date
SUPPLEMENTARY EXPERIENCE (Not required for Affiliate Membership Category)
Briefly describe your current position and responsibilities as they relate to structural engineering
Briefly describe three projects you have worked on within the last three years. Include design,
dates of completion, description of project and description of your responsibilities.
OTHER COMPANY MEMBERS NOMINATED FOR CORPORATE MEMBERSHIP
(In some cases, additional information may be requested to complete membership)
Note in addition to yourself, list up to four other corporate members. These must be existing SEAoT Members or must complete an individual membership.
First Name
Last
Job Title
PE    SE
Email
First Name
Last
Job Title
PE  SE
Email
First Name
Last
Job Title
PE    SE
Email
First Name
Last
Job Title
PE    SE
Email