AIC Membership Application

Levels of Membership | Ladder of Opportunity | Membership Application| Fees and Dues

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Application Type

Which membership level are you applying for?

Constructor | Associate | Affiliate
Are you already an AIC member, and are seeking a higher level of membership? Yes | No
Have you ever applied for AIC Membership before now? Yes | No

Personal Information

First Name
Middle Name
Last Name
Home Street Address
City
State
Zip/Postal Code
Telephone
E-mail Address
Select a chapter to join

Current Employer

Employer
Employer Street Address
City
State
Zip/Postal Code
Telephone
Fax
Job Title
Name of Immediate Supervisor

If you are the President of your company, or do not have an immediate supervisor, please enter the name of a colleague or other professional who works closely with you

Preferred Mailing Address Business | Home

Professional Experience

Applicant's experience in Construction (a concise recording of the applicant's works in the Construction field, with a description of their magnitude and degree of responsibilities; also Constructors and others for whom employed). Please list relevant dates, starting with most recent employment.

Most Recent Employer
Dates
Position

Duties

Employer 2
Dates
Postition
Duties
Employer 3
Dates
Position
Duties
Employer 4
Dates
Position
Duties

Education

Institutions from which graduated, dates, curriculum pursued.

Trade School
Degree
Date Received
Concentration / Field of Study

Junior College
Degree
Date Received
Concentration / Major

Undergraduate College
Degree
Date Received
Major

Graduate School
Degree
Date Received
Gradute Program

Additional Qualifications

Certifications and registrations, with dates
Professional memberships, with dates
Other honors, with dates


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