American Society of Civil Engineers

SECTION I: MEMBERSHIP INFORMATION

Fields marked with an asterisk (*) are mandatory.
Full Name: *
Are you an ASCE member? (Note: Only ASCE members are eligible to serve on a committee. Nonmembers may apply to serve on a committee with the understanding that if their application is approved, their enrollment and participation on the committee will be contingent upon verification and confirmation of their ASCE membership status.) *
ASCE Membership Status:
Membership Number:
If you were referred by a current ASCE member, please enter their name below:
SECTION II: TECHNICAL COMMITTEE(S) OF INTEREST
Committee of primary interest:
Committee of secondary interest, if any:
Would you like to propose a new Task Committee?
If yes, please select the name of the proposed Task Committee:
If "Other," please enter the committee name in the text box below:
Key experience relevant to committee(s) of interest: *
Maximum of 100 words. Currently Used: 0 words.

Maxiumum of 100 words.
Why would you like to become a member of the ASCE committee you are applying for? *
Maximum of 100 words. Currently Used: 0 words.

Maximum of 100 words.
SECTION III: BACKGROUND & EXPERIENCE
Employment Status: *
Employer (enter last employer if retired): *
Employer Location (city, state, and country): *
Employer Type:
Job Title: *
Area of Expertise (include specific topics): *
Maximum of 50 words. Currently Used: 0 words.

Maximum of 50 words.
Educational Background (degree, institution, dates): *
Maximum of 20 words. Currently Used: 0 words.

Maximum of 20 words.
Relevant Professional Accomplishments, Awards, etc:
Maximum of 100 characters. Currently Used: 0 characters.

Maximum of 100 words.
LinkedIn Profile URL:
If you have attended any T&DI conferences in the past, please list them with name, location, and year:
Maximum of 50 words. Currently Used: 0 words.

Maximum of 50 words.
Please upload your latest resume. *
SECTION IV: PREVIOUS EXPERIENCE WITH T&DI
Have you ever served on T&DI Committee(s) in the past? *
Committee Name:
Role:
Number of Years of Service:
Key Accomplishments:
Maximum of 50 words. Currently Used: 0 words.

Maximum of 50 words.
Committee Name:
Role:
Number of Years of Service:
Key Accomplishments:
Maximum of 50 words. Currently Used: 0 words.

Maximum of 50 words.
Committee Name:
Role:
Number of Years of Service:
Key Accomplishments:
Maximum of 50 words. Currently Used: 0 words.

Maximum of 50 words.
SECTION V: DEMOGRAPHIC & CONTACT INFORMATION
Gender: *
Age Group (for eligibility as a Younger Member): *
Primary Email: *
Secondary Email:
Residential Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number: ### - ### - ####
SECTION VI: TERMS & CONDITIONS

I understand that ASCE stores and processes the information provided in accordance with its terms and conditions and privacy policy. ASCE uses the information to manage my requests or inquiries and to support the delivery of products and services to me.

I understand that as a member of an ASCE committee, I will voluntarily contribute to a collective work, and that any copyright interests in any work that I prepare for this committee shall be considered a “work for hire” and shall be owned by ASCE. If any work I contribute fails to qualify as a work for hire, I assign any and all copyright interest I may have in the final product or other drafts to ASCE. I understand that if selected, my selection as a member of ASCE committee(s) will be conditioned upon my agreement to these terms.
*
I agree to the terms of service.
Date: * MM / DD / YYYY
Signature: *

Please type your full name.
Stay up-to-date with ASCE & the Civil Engineering Community

Sign up for ASCE’s email list to receive valuable information directly to your inbox such as publications, conference invitations, continuing education opportunities, and much more. You can select the types of emails you wish to receive or unsubscribe at any time through our Email Preference Center.
Would you like to receive emails from ASCE? *
Yes No
Do Not Fill This Out

American Society of Civil Engineers

SECTION I: MEMBERSHIP INFORMATION

SECTION II: TECHNICAL COMMITTEE(S) OF INTEREST

SECTION III: BACKGROUND & EXPERIENCE

SECTION IV: PREVIOUS EXPERIENCE WITH T&DI

SECTION V: DEMOGRAPHIC & CONTACT INFORMATION

SECTION VI: TERMS & CONDITIONS

Stay up-to-date with ASCE & the Civil Engineering Community