ASSOCIATE MEMBER PROFILE / APPLICATION
Name of Company:
Principles Name:
Name of Main Contact Person:
Address: Street
Phone Number:
Email Address:
Number of Employees (local):
Current Date:
City/State
Fax Number:
Zip
Year Founded:
Provide a brief description of your company’s capabilities, target client base and the types of
subcontract services typically utilized on your projects:
What areas of assistance will your company be able to offer to Protégé and/or Mentor firms on a
limited basis (check all that apply)
Subcontracting Opportunities (as applicable)
Networking Opportunities
Marketing Assistance
Business Plan Development
Technical Mentoring
Business Mentoring
Staff Development/Human Resource Development
Other (explain)
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ASSOCIATE MEMBER PROFILE / APPLICATION
Vision Statement
Create a regional engineering community where minority and woman-owned engineering firms
compete on an equal basis with other consulting engineering firms in the marketplace.
Mission Statement
To encourage and support minorities and women to enter and succeed in the engineering
profession.
To provide opportunities, guidance, and mentoring to minority and woman-owned engineering
firms to enable them to be viable, competitive, self sustaining members of the business
community.
To enable minority and woman-owned firms to provide competitive employment opportunities
that will attract and keep talented and ambitious minority and woman engineers in Southwestern
Pennsylvania.
By signature below, I acknowledge my, and my companies, support for the Southwestern
Pennsylvania Engineering Outreach (SPEO), our promise to participate in and promote the
program, and our commitment to strive to be an active and successful mentoring firm in
Southwestern Pennsylvania.
Signature
Date
Application Fee is $300 per year for Mentor and Associate Member firms and $200 per
year for Protégé firms. Return completed applications and make checks payable to:
Southwestern Pennsylvania Engineering Outreach
c/o Engineers' Society of Western Pennsylvania
337 Fourth Avenue
Pittsburgh, PA 15222
Tele: 412.261.0710
Note “SPEO Application” in the comment section of the check
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