Structural Engineers
Association of Nebraska
(SEAON)
MEMBERSHIP APPLICATION (Period June 1, 2011 - May 31, 2012)

* REQUIRED

NAME *
TITLE *
COMPANY *
MAILING ADDRESS *
CITY/STATE *
ZIP *
BUSINESS PHONE *
HOME PHONE
FAX
EMAIL *

LICENSING * P.E. F.E.(E.I.T.) S.E. OTHER/NONE

MEMBERSHIP GRADE * Professional Member

Licensed or registered Professional Engineer actively engaged in the practice of Structural Engineering.

Associate Member

E.I.T. engaged in the practice of Structural Engineering who is not professionally licensed.

Affiliate Member

Non-engineer interested in the practice of Structural Engineering and qualified to assist in the advancement of professional knowledge, practice and welfare.

Student Member

Full or part-time student (9 hrs. min.) pursuing a degree course in Civil, Architectural or Structural Engineering.


COMMITTEE PARTICIPATION * Yes No

Dues * Member $70 Student $20

PAY BY CHECK THROUGH MAIL:  

Mail to: Structural Engineers Association Of Nebraska
             P.O. Box 540068
             Omaha, Ne 68154

You will receive a conformation email with your application information.