Student Member Application Membership is your Door to the Future Save this form to your computer and type in your information. Student Dues are $25 (USD). Payment must accompany completed application. To apply online please visit: www.sae.org/students/membership YOUR INFORMATION SAE International® Member # (if renewing):______________________________________________ Gender: q Mr. q Ms. q Male q Female q Mrs. Prefix (Dr., Lt.) :______________________Birth date (*not a required field)___________________________ First Name (Given Name) : ______________________________________________________________Middle Initial: ______________ Last Name (Family Name) : _____________________________________________________________ Suffix (Jr., III) :_____________ Email: ________________________________________________________________________________________________________ YOUR ADDRESSES Permanent Home Address: q This is my primary address Street Address: _______________________________________________________City: __________________________________ State/Province: ____________________Zip/Postal Code: __________Country: ______________ Phone Number: _____________ Current Address at College: q This is my primary address Street Address: _______________________________________________________City: __________________________________ State/Province: ____________________Zip/Postal Code: __________Country: ______________ Phone Number: _____________ COLLEGE OR UNIVERSITY School Name: _________________________________________________________________________________________________ Degree: q Associate q Bachelors q Masters q Doctorate q Other ___________________________________________ Graduation (month/year) : ______________________Major/Minor: ______________________________________________________ MAGAZINE SUBSCRIPTIONS Description Student Magazine Momentum: The Magazine for Student members of SAE International (Students residing within North America receive a print edition free with membership) Description Technical Magazines NASA Tech Briefs Automotive Engineering International Off-Highway Engineering Magazine Subscriptions Free with Membership Digital Edition Free access with membership Additional Subscriptions Available for Purchase Print Edition Delivered outside North America $30 q Magazine Subscriptions Free with Membership Digital Edition Additional Subscriptions Available for Purchase Print Edition Select one free with membership q $15 q q $15 q q $12 q ANNUAL MEMBERSHIP DUES..................................................................................................................................................................................... $ TOTAL AMOUNT................................................................................................................................................................................................................................... $ FEE Amount $ FEE Amount $ Membership dues must be paid in advance and are non-refundable All amounts in U.S. dollars PAYMENT METHOD: Credit Card Information: q Cash q Check q Money order q Credit card q Visa q American Express q MasterCard q Discover Card Number:______________________________________________Expiration (mm/yyyyy): ___________________________ Cardholder’s Signature: ____________________________________________________________________________________ I represent and warrant to SAE that the registration information I have submitted is truthful, accurate, complete and up to date, including my full legal name and educational background. I acknowledge that SAE may, without having the obligation to, verify the information provided. If, in SAE’s reasonable judgment, I fail to comply with this provision, SAE may, at its sole discretion, take action such as suspending my membership and including without limitation terminating my membership. Signature (required):________________________________________________________Date: __________________________ Your signature indicates that you agree to be bound by this provision. 25 What’s in it for you? Exclusive Benefits • Learn from the BEST in the industry: Check out the Mentor Center at www.sae.org/careers—accessible to members-only! • Serve in Leadership Positions: A great way to shine on your resume—serve as a Student Officer! • Compete in the SAE Collegiate Design Series™: CDS alumni are some of the most sought after college graduates on the planet—who wouldn’t want to hire you? • Gain exposure to the job market: You can’t get a job unless you find one to apply for! Access internships and jobs with the online SAE Career Center, and post your resume and search open positions (don’t forget to list all the SAE student awards you’ve won on your resume!) Plus: • Complimentary subscription to Momentum, SAE’s student magazine • Access to EngineerXchange®, (check it out at ex.sae.org) a members-only professional network for unique technical information, articles, blogs, and more • Discounts on SAE publications • Complimentary digital subscription to one SAE industry magazine of your choice • Registration fee discounts for professional development courses and technical conferences • Complimentary subscription to SAE Update, our members-only digital newsletter • Discounts on computer products and office supplies Find out more at www.sae.org/membership Instructions for completing your membership application: Eligibility for Student Membership You must be a full-time student (at least 13 credit hours per semester) pursuing any associate, bachelor, masters, or doctoral degree. Keep Your Information Current (email, phone, address, graduation date, etc.) Update your information online through “My SAE” http://my.sae.org/ or email CustomerService@sae.org. Payment Must Accompany Your Application (check, credit card, money order, or wire transfer). Note: Some SAE Collegiate Chapters charge a separate membership fee. This is in addition to the $25 SAE student member dues. REQUIRED! Read the last paragraph on the other side, then sign and date the application to acknowledge that the information you have given is accurate. Any application without this will not be processed. When You Graduate Stay connected professionally throughout your career by transferring to professional membership. You’ll qualify for reduced dues for 4 years if you transfer after graduation and upon expiration of your student membership. Send payment to: SAE International 400 Commonwealth Drive Warrendale, PA 15096-0001 USA Questions? Contact SAE Customer Service Phone: +1.877.606.7323 (US and Canada) or Fax: +1.724.776.0790 Email: students@sae.org Emily Stark P140003S University of Tennessee-Chattanooga Masters of Engineering in Mechanical Engineering Expected Graduation Date, Spring, 2013