(Constructor, Associate, Candidate, and Affiliate Levels)

STEP 1 - Complete the required form fields below and then click the "Proceed to Step 2" button. Or, if you prefer you can download the application form in PDF format.

Note - MembershipForms require Adobe Acrobat Reader. If you do not have this program, you can download it for free from the Adobe Web site by clicking on the image to the right.

* DENOTES REQUIRED FIELDS
APPLICANT INFORMATION
* First Name:
* Middle Name:
* Last Name:
* AIC Number:
* Date of Birth:
* Home Phone Number:
* Home Street Address:
* City:
* State:
* Zip/Postal Code:

* Employer:
* Phone Number:
* Employer Street Address:
* City:
* State:
* Zip/Postal Code:
* Preferred Mailing Address:
Business | Home

I am employed in the construction profession in the position of:
Date of appointment to present position:
Name and Title of Immediate supervisor:
Please explain why you are interested in becoming a constructor in AIC:
What do you think are the professional needs of young people entering the industry, and what do you think should be done to address these needs?
EXPERIENCE
A concise recording of the applicants employment history since entering the construction field, with a description of the magnitude and degree of responsibility, employers and dates of employment. Please list relevant dates, starting with most recent employment. Use additional sheets as needed.

* Most Recent Employer:
* Dates:
* Position:
* Responsibilities:
 

Employer 2:
Dates:
Postition:
Responsibilities:
 

Employer 3:
Dates:
Position:
Responsibilities:
 

Employer 4:
Dates:
Position:
Responsibilities:
 

 EDUCATION 
General education and qualifications attained with dates. Include specialized construction related courses, examination passes, degrees, etc. Use additional sheets as needed.

Trade School:
Date/Degree:
Major:

Junior College:
Date/Degree:
Major:

Undergraduate College/University:
Date/Degree:
Major:

Graduate School:
Date/Degree:
Major:

Certifications and registrations, with dates:

Other qualifications, with dates:



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