AAPT Membership Application


THE ASSOCIATION OF ASPHALT PAVING TECHNOLOGISTS
Office of the Secretary-Treasurer
6776 Lake Drive Suite 215
Lino Lakes, MN 55014

651-293-9188 Fax 651-293-9193 email: aapt@aapt.comcastbiz.net

ACTIVE Member - Annual Dues $200
University/College degree in engineering, chemistry or other academic disciplines considered appropriately related to the objectives of the Association, PLUS a minimum of two (2) years of experience in a responsible position connected with asphalt technology. Graduate degree in a field related to the objectives of the Association can substitute for a maximum of two (2) years of experience. Master’s degree = one (1) year; Doctorate = two (2) years.
OR
Five (5) years of experience in a responsible position connected with asphalt technology. Each year in a technical school from which no degree was obtained = 0.5 years of experience.

ASSOCIATE Member - Annual Dues $200
University/College degree in engineering, chemistry or other academic disciplines considered appropriately related to the objectives of the Association.
OR
Three (3) years of experience in a responsible position connected with asphalt technology. Each year in a technical school from which no degree was obtained = 0.5 years of experience.

STUDENT Member - Annual Dues - $50
Currently enrolled at least half-time as a student in engineering or chemistry or other academic disciplines considered appropriately related to the objectives of the Association.

* APPLICATION FOR MEMBERSHIP AS
Active Member
Associate Member
Student Member

I do hereby apply for membeship in the Association of Asphalt Paving Technologists and submit the following statement of my qualifications:
FULL NAME:
* COMPANY, AGENCY OR UNIVERSITY:
* FULL MAILING ADDRESS (street address, city, state, zip code, county):
* TELEPHONE/FAX:
* EMAIL ADDRESS:
UPLOAD RESUME (required only for Member applications):
PRESENT (JOB) TITLE:
EDUCATION - TRAINING: (colleges or universities, with nature of studies, degrees received, or practical experience and dates)
How did you hear about AAPT membership?:
(If this was an individual, please provide for the first and last name of the person who referred you so we can thank them.)
PROFESSIONAL QUALIFICATIONS AND EXPERIENCE:

This section is unnecessary if resume is attached.

(list present position first)
DATES (year & month) From/To TITLE OF POSITION, NAME OF EMPLOYER, AND CHARACTER OF EMPLOYMENT RESPONSIBLE POSITION*
(years or months)

* A "Responsible Position" implies definite responsibility for technical work in the asphalt field. The information given under "Character of Employment" should provide details substantiating the information on "Responsible Position." Further information may be offered in the space immediately below or on additional sheets.

* I hereby declare that, if elected to membership, I will abide by the Constitution and By-Laws of the organization, and cooperate in its activities:

(* fields are required)





Please check application for accuracy and completeness before submitting. Thank you.


Do not send payment now, you will be sent an invoice after you are accepted into membership.