Microsoft Word - Student Chapter Application.docx



STUDENT CHAPTER APPLICATIONInstructions: Include a letter of support on letterhead from the department head, faculty advisor, or graduate student at your university; they must be a current member of ATMAE and should want to help organize and promote the student chapter. Provide a list of current ATMAE student members (minimum of 6) that will participate in the student chapter. Students can apply and pay for membership on ATMAE’s website. List each student member with ATMAE Membership # on page 2.Submit the completed application along with $25 chapter affiliation fee* and supporting documentation to admin@University Information: Name of University: ________________________________________________________________ Name of program: __________________________________________________________________ University Address: _________________________________________________________________ Address line 2: ____________________________________________________________________ City: _____________________________ State: ____________ Zip: _________________________ Student Chapter Main Contact:________________________________________________________ Email: ___________________________________ Phone: ________________________________ Faculty Advisor/Department Head/Graduate Student: _______________________________________ ATMAE Certification: □ CTM/CSTM □ CMS/CSMS □ CEG/CSEG □ CTP/CSTP □ MFCEmail: ___________________________________ Phone: ________________________________ The $25 Student chapter affiliation fee includes an ATMAE certificate recognizing the student chapter and the choice of an ATMAE Banner or Table Runner. Please select one:ATMAE Student Chapter banner with four metal grommets (44”x30”)ATMAE Student Chapter white table runner (2’ x 5’)Signature: _______________________________________________________________________ By signing your name above, you agree you have read, understand, and will adhere to the roles and responsibilities of supporting a student chapter. 1 Petition A minimum of 6 ATMAE student members in good standing are required to establish and/or maintain the chapter. ATMAE members may locate their member number by logging into their membership profile online at . Name Membership ID Number Student Chapter Officers If no officers have been elected, you must notify us within 60 days of submission of whom the officers are via email at admin@ Position Term First Name Last Name Email Address President Vice President Secretary Treasurer (Optional) Student chapter website or social media site: ________________________ 2 ................
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