ASME Grades of Membership

Personal Information • Complete all applicable fields:

Professional Membership C3.1.5 A Member, at the time of admission or advancement to that grade, shall have attainments amounting to the equivalent of at least eight years of engineering experience.
(Note: A degree in an approved engineering curriculum or a baccalaureate degree in an approved engineering technology curriculum shall be accepted as equivalent to the
Application eight-year experience requirement.)
________________________________________________________________
AMERICAN SOCIETY OF MECHANICAL ENGINEERS C3.1.6 An Affiliate should be a person who is capable of and interested in rendering service to the field of engineering; and whose work should be so related to applications of
Last Name/Family Name
engineering that admission to this grade will contribute to the welfare of the Society.
Instructions: Complete all applicable fields and mail with payment to: ASME, 22 ___________________________________ ___________ M  F
______________ Membership grades will be assigned based on information provided with this form. Additional information may be required for other grades.
Law Drive, P.O. Box 2900, Fairfield, NJ 07007-2900, or fax to: 1-973-882-1717. First Name/Given Name Initial Gender
Applications without payment will not be processed. For assistance completing this Professional History
application, please call 1-973-882-1167 or 1-800-THE-ASME, or email questions ________________________________________________________________
to customercare@asme.org. Select a code based on your Principal Job Function Select a code that best describes your Title
Birthdate MM / DD / YYYY (you must include exact birthdate with year) 01 General or corporate management
You can also join online at: www.asme.org/membership Engineering
02 Product design, including applied research and development
________________________________________________________________ 31 Corporate V.P. for Engineering, Director, etc.
03 Systems design, including applied research and development
2014-2015 Membership Dues Schedule • Choose one: Company 13 Design of equipment for in-plant use
32 Chief Engineer, Senior Engineer, etc.

■
Member or Affiliate (see page 2 for definition). . . . . . . . . . . . . . . . $149 USD 14 Other design engineering functions 33 Project Manager
________________________________________________________________ 04 Production engineering (processing or manufacturing) 34 Other (e.g. Engineer, Allied Scientist)
 Member within 1 year of graduation . . . . . . . . . . . . . . . . . . . . . . . . $ 59 USD
 Member within 2 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $ 81 USD Primary (Mailing) Address Home Business 05 Testing, reliability assurance, quality control, and standards
Non-Engineering
06 Plant engineering, operations, and maintenance
 Member within 3 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $104 USD ________________________________________________________________ 11 Basic research & development 35 President, Owner, etc.
 Member within 4 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $126 USD 15 Other process engineering functions 36 Vice President, Senior Manager, etc.
(please attach additional sheet if more space is needed for address) 37 Project Manager, Manager, or Supervisor
12 Consulting
Residents of certain countries may be eligible for additional discounts. See second page for details. 07 Education 38 Other (e.g., sales, marketing)
__________________________________ ___________ ________________ 08 Other-please specify:___________________________________________
What Interests You? • Choose up to eight: City State/Province Country
Connect with engineering professionals and participate in as many interest groups College(s) / University(ies) Attended Professional Record (attach resume or curriculum vitae)
___________________________ ___________________________________
as you would like from the list below. ASME groups allow engineers and technical Zip/Postal Code Telephone Number (including area code) College/University Location Degree Area of Study Date of Degree Name of current
professional to receive relevant information and engage with others who share employer
similar interests throughout the world. Indicate up to 8 selections. To become an
online Participant in these and other groups beyond the available fields below, visit
___________________________________ ____________________________ Job Title
our website at www.asme.org/groups Email Address Fax Number (including area code)
Length of time in
current job years: months:
1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S.
Dues Payment Information • Payment by: Reference • Please complete to the best of your ability.
27 Advanced Energy Systems 13 Manufacturing Engineering 7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe)____________
01 Aerospace 10 Materials  Check  AmEx  Visa  Mastercard  Discover  Check box if your reference is an ASME Member
02 Applied Mechanics 29 Materials and Energy Recovery  Euro Card  Money Order Professional Engineering Registration  P.E. Name___________________________ Company____________________________
42 ASME International Outreach 04 Materials Handling Engineering State/Country License No. Date of Issue Address__________________________________ City________________________
09 Bioengineering 39 Microelectromechanical Systems Residents of South Dakota and Canada are required to calculate and State/Province_____________ Postal code____________ Country________________
31 Computers & Information in Engineering 41 Nanotechnology Institute add sales tax to their payment when paying by Check or Money Order.*
Email _______________________________ Telephone________________________
14 Design Engineering 32 Noise Control & Acoustics Sales tax will be added automatically when paying by Credit Card.
25 Dynamic Systems & Control 33 Non-destructive Evaluation COUNTRIES ELIGIBLE FOR 50% DUES DISCOUNT COUNTRIES ELIGIBLE FOR 25% DUES DISCOUNT
44 Early Career (Connect) 17 Nuclear Engineering ALBANIA GUYANA PEOPLES REP/CHINA
ASME Membership Dues $ ________________ AFGHANISTAN MADAGASCAR
45 ECLIPSE 35 Ocean, Offshore & Arctic Engineering ALGERIA HONDURAS PERU
* Sales Tax $ ________________ BANGLADESH MALAWI
34 Electronic & Photonic Packaging 16 Petroleum ANGOLA INDONESIA PHILIPPINES
Total $ ________________ BENIN MALI
ARMENIA IRAN SAMOA
23 Environmental Engineering 40 Pipeline Systems BHUTAN MAURITANIA
AZERBIJAN IRAQ SAO TOME AND PRINCIPE
47 Engineers Without Borders 21 Plant Engineering & Maintenance BURKINA FASO MONGOLIA
BELARUS JAMAICA SERBIA
BURUNDI MOZAMBIQUE
48 Entrepreneur's Network 19 Power ___________________________________________________________ BELIZE JORDAN SOUTH SUDAN
CAMBODIA MYANMAR BOLIVIA KAZAKHSTAN SRI LANKA
36 Fluid Power Systems & Technology 50 Pre-College Credit Card Number CENTRAL AFRICAN REPUBLIC NEPAL BOSNIA & HERZEGOVINA KIRIBATI SUDAN
08 Fluids Engineering 28 Pressure Vessels & Piping CHAD NIGER BULGARIA KOSOVO SURINAME
46 Grad Students 12 Process Industries _____________________________________ ____________________ COMOROS NIGERIA CAMEROON LAO PDR SWAZILAND
11 Heat Transfer 18 Rail Transportation Exp. Date (MM/YY) Security Code (CSC/CVV2) CONGO, DEM. REP PAKISTAN CAPE VERDE LESOTHO SYRIAN ARAB REPUBLIC
38 Information Storage & Processing Systems 07 Safety Engineering & Risk Analysis COTE D'IVOIRE RWANDA COLOMBIA MALDIVES THAILAND
__________________________________________________________ DJIBOUTI SENEGAL CONGO REP MARSHALL ISLANDS TONGA
05 Internal Combustion Engine 30 Solar Energy
ERITREA SIERRA LEONE CROATIA MICRONESIA, FED. STS. TUNISIA
22 Int’l Gas Turbine Institute 51 Student Liaisons Cardholder Name
ETHIOPIA SOLOMON ISLANDS ECUADOR MOLDOVA TURKMENISTAN
49 Latino Operacion y Mantenimiento 24 Technology & Society GAMBIA SOMALIA EGYPT, ARAB REP. MOROCCO TUVALU
de Calderas 15 Tribology
___________________________________________________________ GHANA TAJIKISTAN EL SALVADOR NAMIBIA UKRAINE
03 Management Cardholder Signature GUINEA TANZANIA FIJI NICARAGUA VANUATU
43 Women in Engineering
GUINEA - BISSAU TIMOR-LESTE GEORGIA PAPUA NEW GUINEA WEST BANK AND GAZA
HAITI TOGO GUATEMALA PARAGUAY
(A) I authorize the Society to verify the information contained in this application and, to that end, to contact any educational institution, professional society, publisher, employer, or otherentity named
or identified in this application or in any document submitted in support of this application. I hereby consent to and authorize the release and disclosure to ASME of any information records or INDIA UGANDA
correspondence as required to verify the information in the application, which is held by any such entity identified in this application. KENYA UZBEKISTAN ASME 22 Law Drive, P.O. Box 2900, Fairfield, NJ 07007-2900
(B) I subscribe to the above and, if elected to any grade, will be governed by the Constitution and By-Laws of the Society and its Code of Ethics as long as I continue as a member. I furthermore KOREA, DEM. REP. VIETNAM
Phone: 973-882-1167 (Global)
agree to promote the objectives of the Society so far as shall be in my power. KYRGYZ REPUBLIC YEMEN REPUBLIC
LAOS ZAMBIA
800-THE-ASME/800-843-2763 (U.S./Canada)
LIBERIA ZIMBABWE Fax: 973-882-1717 Email: customercare@asme.org 6/2014
Please complete all sections on back side of application.
 ASME Grades of Membership
Personal Information • Complete all applicable fields:
Professional Membership C3.1.5 A Member, at the time of admission or advancement to that grade, shall have attainments amounting to the equivalent of at least eight years of engineering experience.
(Note: A degree in an approved engineering curriculum or a baccalaureate degree in an approved engineering technology curriculum shall be accepted as equivalent to the
Application eight-year experience requirement.)
________________________________________________________________
AMERICAN SOCIETY OF MECHANICAL ENGINEERS C3.1.6 An Affiliate should be a person who is capable of and interested in rendering service to the field of engineering; and whose work should be so related to applications of
Last Name/Family Name
engineering that admission to this grade will contribute to the welfare of the Society.
Instructions: Complete all applicable fields and mail with payment to: ASME, 22 ___________________________________ ___________ M  F
______________ Membership grades will be assigned based on information provided with this form. Additional information may be required for other grades.
Law Drive, P.O. Box 2900, Fairfield, NJ 07007-2900, or fax to: 1-973-882-1717. First Name/Given Name Initial Gender
Applications without payment will not be processed. For assistance completing this Professional History
application, please call 1-973-882-1167 or 1-800-THE-ASME, or email questions ________________________________________________________________
to customercare@asme.org. Select a code based on your Principal Job Function Select a code that best describes your Title
Birthdate MM / DD / YYYY (you must include exact birthdate with year) 01 General or corporate management
You can also join online at: www.asme.org/membership Engineering
02 Product design, including applied research and development
________________________________________________________________ 31 Corporate V.P. for Engineering, Director, etc.
03 Systems design, including applied research and development
2014-2015 Membership Dues Schedule • Choose one: Company 13 Design of equipment for in-plant use
32 Chief Engineer, Senior Engineer, etc.
 Member or Affiliate (see page 2 for definition). . . . . . . . . . . . . . . . $149 USD 14 Other design engineering functions 33 Project Manager
________________________________________________________________ 04 Production engineering (processing or manufacturing) 34 Other (e.g. Engineer, Allied Scientist)
 Member within 1 year of graduation . . . . . . . . . . . . . . . . . . . . . . . . $ 59 USD
 Member within 2 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $ 81 USD Primary (Mailing) Address Home Business 05 Testing, reliability assurance, quality control, and standards
Non-Engineering
06 Plant engineering, operations, and maintenance
 Member within 3 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $104 USD ________________________________________________________________ 11 Basic research & development 35 President, Owner, etc.
 Member within 4 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $126 USD 15 Other process engineering functions 36 Vice President, Senior Manager, etc.
(please attach additional sheet if more space is needed for address) 37 Project Manager, Manager, or Supervisor
12 Consulting
Residents of certain countries may be eligible for additional discounts. See second page for details. 07 Education 38 Other (e.g., sales, marketing)
__________________________________ ___________ ________________ 08 Other-please specify:___________________________________________
What Interests You? • Choose up to eight: City State/Province Country
Connect with engineering professionals and participate in as many interest groups College(s) / University(ies) Attended Professional Record (attach resume or curriculum vitae)
___________________________ ___________________________________
as you would like from the list below. ASME groups allow engineers and technical Zip/Postal Code Telephone Number (including area code) College/University Location Degree Area of Study Date of Degree Name of current
professional to receive relevant information and engage with others who share employer
similar interests throughout the world. Indicate up to 8 selections. To become an
online Participant in these and other groups beyond the available fields below, visit
___________________________________ ____________________________ Job Title
our website at www.asme.org/groups Email Address Fax Number (including area code)
Length of time in
current job years: months:
1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S.
■

Dues Payment Information • Payment by: Reference • Please complete to the best of your ability.
27 Advanced Energy Systems 13 Manufacturing Engineering 7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe)____________
01 Aerospace 10 Materials  Check  AmEx  Visa  Mastercard  Discover  Check box if your reference is an ASME Member
02 Applied Mechanics 29 Materials and Energy Recovery  Euro Card  Money Order Professional Engineering Registration  P.E. Name___________________________ Company____________________________
42 ASME International Outreach 04 Materials Handling Engineering State/Country License No. Date of Issue Address__________________________________ City________________________
09 Bioengineering 39 Microelectromechanical Systems Residents of South Dakota and Canada are required to calculate and State/Province_____________ Postal code____________ Country________________
31 Computers & Information in Engineering 41 Nanotechnology Institute add sales tax to their payment when paying by Check or Money Order.*
Email _______________________________ Telephone________________________
14 Design Engineering 32 Noise Control & Acoustics Sales tax will be added automatically when paying by Credit Card.
25 Dynamic Systems & Control 33 Non-destructive Evaluation COUNTRIES ELIGIBLE FOR 50% DUES DISCOUNT COUNTRIES ELIGIBLE FOR 25% DUES DISCOUNT
44 Early Career (Connect) 17 Nuclear Engineering ALBANIA GUYANA PEOPLES REP/CHINA
ASME Membership Dues $ ________________ AFGHANISTAN MADAGASCAR
45 ECLIPSE 35 Ocean, Offshore & Arctic Engineering ALGERIA HONDURAS PERU
* Sales Tax $ ________________ BANGLADESH MALAWI
34 Electronic & Photonic Packaging 16 Petroleum ANGOLA INDONESIA PHILIPPINES
Total $ ________________ BENIN MALI
ARMENIA IRAN SAMOA
23 Environmental Engineering 40 Pipeline Systems BHUTAN MAURITANIA
AZERBIJAN IRAQ SAO TOME AND PRINCIPE
47 Engineers Without Borders 21 Plant Engineering & Maintenance BURKINA FASO MONGOLIA
BELARUS JAMAICA SERBIA
BURUNDI MOZAMBIQUE
48 Entrepreneur's Network 19 Power ___________________________________________________________ BELIZE JORDAN SOUTH SUDAN
CAMBODIA MYANMAR BOLIVIA KAZAKHSTAN SRI LANKA
36 Fluid Power Systems & Technology 50 Pre-College Credit Card Number CENTRAL AFRICAN REPUBLIC NEPAL BOSNIA & HERZEGOVINA KIRIBATI SUDAN
08 Fluids Engineering 28 Pressure Vessels & Piping CHAD NIGER BULGARIA KOSOVO SURINAME
46 Grad Students 12 Process Industries _____________________________________ ____________________ COMOROS NIGERIA CAMEROON LAO PDR SWAZILAND
11 Heat Transfer 18 Rail Transportation Exp. Date (MM/YY) Security Code (CSC/CVV2) CONGO, DEM. REP PAKISTAN CAPE VERDE LESOTHO SYRIAN ARAB REPUBLIC
38 Information Storage & Processing Systems 07 Safety Engineering & Risk Analysis COTE D'IVOIRE RWANDA COLOMBIA MALDIVES THAILAND
__________________________________________________________ DJIBOUTI SENEGAL CONGO REP MARSHALL ISLANDS TONGA
05 Internal Combustion Engine 30 Solar Energy
ERITREA SIERRA LEONE CROATIA MICRONESIA, FED. STS. TUNISIA
22 Int’l Gas Turbine Institute 51 Student Liaisons Cardholder Name
ETHIOPIA SOLOMON ISLANDS ECUADOR MOLDOVA TURKMENISTAN
49 Latino Operacion y Mantenimiento 24 Technology & Society GAMBIA SOMALIA EGYPT, ARAB REP. MOROCCO TUVALU
de Calderas 15 Tribology
___________________________________________________________ GHANA TAJIKISTAN EL SALVADOR NAMIBIA UKRAINE
03 Management Cardholder Signature GUINEA TANZANIA FIJI NICARAGUA VANUATU
43 Women in Engineering
GUINEA - BISSAU TIMOR-LESTE GEORGIA PAPUA NEW GUINEA WEST BANK AND GAZA
HAITI TOGO GUATEMALA PARAGUAY
(A) I authorize the Society to verify the information contained in this application and, to that end, to contact any educational institution, professional society, publisher, employer, or otherentity named
or identified in this application or in any document submitted in support of this application. I hereby consent to and authorize the release and disclosure to ASME of any information records or INDIA UGANDA
correspondence as required to verify the information in the application, which is held by any such entity identified in this application. KENYA UZBEKISTAN ASME 22 Law Drive, P.O. Box 2900, Fairfield, NJ 07007-2900
(B) I subscribe to the above and, if elected to any grade, will be governed by the Constitution and By-Laws of the Society and its Code of Ethics as long as I continue as a member. I furthermore KOREA, DEM. REP. VIETNAM
Phone: 973-882-1167 (Global)
agree to promote the objectives of the Society so far as shall be in my power. KYRGYZ REPUBLIC YEMEN REPUBLIC
LAOS ZAMBIA
800-THE-ASME/800-843-2763 (U.S./Canada)
LIBERIA ZIMBABWE Fax: 973-882-1717 Email: customercare@asme.org 6/2014
Please complete all sections on back side of application.