Student Membership application

*Name of the School/Educational Facility the Students are Attending

Key Group Membership Contact Information

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

Student [1] Individual Membership Contact Information

Name currently unavailable, please contact me directly later for contact information.

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

Address 2

*Phone

Fax Number

*Email Address

Alternate Contact Information (If unable to contact at this location)

Same information as above

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

Student [2] Individual Membership Contact Information

Name currently unavailable, please contact me directly later for contact information.

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

Address 2

*Phone

Fax Number

*Email Address

Alternate Contact Information (If unable to contact at this location)

Same information as above

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

Student [3] Individual Membership Contact Information

Name currently unavailable, please contact me directly later for contact information.

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

Address 2

*Phone

Fax Number

*Email Address

Alternate Contact Information (If unable to contact at this location)

Same information as above

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

Student [4] Individual Membership Contact Information

Name currently unavailable, please contact me directly later for contact information.

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

Address 2

*Phone

Fax Number

*Email Address

Alternate Contact Information (If unable to contact at this location)

Same information as above

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

Student [5] Individual Membership Contact Information

Name currently unavailable, please contact me directly later for contact information.

Prefix

*First Name

Middle Name

*Last Name

Suffix

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

Address 2

*Phone

Fax Number

*Email Address

Alternate Contact Information (If unable to contact at this location)

Same information as above

*Address 1

*City

*State/Province

*Zipcode+4/Postal Code

*Country

Address 2

*Phone

Fax Number

*Email Address

Canadian Anti-Spam Legislation
Yes, please send me occasional emails about important Public Works announcements, events, and deadlines.
No, I wish to unsubscribe from informational emails from APWA/CPWA.

* Denotes required fields

Restrictions:

There is a five-year maximum as a Student Member. Existing APWA members will not be allowed to transfer to Student membership without the express written permission of the APWA Executive Director.

Step 1 of 3
APWA Student Membership Application Online NOTE: Completion of online Student membership application also requires payment by MasterCard, VISA or American Express. If you prefer to print the application and mail it with a payment check, please click here. We do not recommend using this application for annual membership renewals.
Decide which type of membership works best for you - Individual or Group (Please note that all APWA members residing in Canada are also members of the Canadian Public Works Association. Your credit card will be charged in US Dollars but may be subject to the exchange rate at the time when the payment is processed.) Questions? Contact a membership specialist at (800) 848-APWA or membership@apwa.net.
Student Individual Membership
Available to any student enrolled in at least nine credit hours per semester at an accredited college, university, junior college or community college offering Associate's, Bachelor's or advanced degree programs in engineering, public administration, planning, construction or other public works-related coursework. A formal Student chapter need not be in existence at your educational facility before APWA will accept your Student Individual Membership application. Membership is for one year and will begin upon receipt of dues payment. NOTE: Please complete a separate online application for each new Student Individual membership requested. Student Individual Membership Dues at $28 USD
Student Group Memberships
Available to any group of at least five students who are each enrolled in at least nine credit hours per semester at the same accredited college, university, junior college or community college offering Associate's, Bachelor's or advanced degree programs in engineering, public administration, planning, construction or other public works-related coursework. Student Groups may include more than five members; there is a per person "additional Student Group member" fee. When joining as a Student Group, each member saves $4 USD on annual membership dues. Membership is for one year and will begin upon receipt of dues payment. Student Groups will receive one consolidated renewal notice with a member roster attached. Each student on the Student Group roster will have the same membership expiration date and the group’s annual renewal notice will be addressed to the person identified as the group’s "key contact." Student Members may be added or dropped from the Student Group roster only during this annual membership renewal time period. Student Group Membership Dues at $114 USD, covers 5 Student members

Step 3 of 3
Membership Summary
Name of School/Educational Facility Student is Attending:
Preferred method of communication:
School/Educational Facility Contact Information



Phone:
Fax:
Email:
Individual Student Contact Information

APWA Student Membership Application Online

Decide which type of membership works best for you - Individual or Group

Membership Information

Restrictions:

Membership Summary

Membership Information

Restrictions:

Step 2 of 3
	Membership Information Please complete a separate online application for each new Student Individual member.


*Name of School/Educational Facility Student is Attending

Student's Individual Membership Permament/Home Contact Information
Prefix	*First Name	Middle Name	*Last Name	Suffix
*Address 1	*City	*State/Province	*Zipcode+4/Postal Code	*Country
Address 2	*Phone	Fax Number	*Email Address

School/Educational Facility Contact Information
*Address 1	*City	*State/Province	*Zipcode+4/Postal Code	*Country
Address 2	*Phone	Fax Number	*Email Address

*Preferred Address and email for receiving APWA communications Permament/Home School/Educational Facility
Canadian Anti-Spam Legislation Yes, please send me occasional emails about important Public Works announcements, events, and deadlines. No, I wish to unsubscribe from informational emails from APWA/CPWA.
	* Denotes required field(s)
Restrictions: There is a five-year maximum as a Student Member. Existing APWA members will not be allowed to transfer to Student membership without the express written permission of the APWA Executive Director.