STUDENT MEMBERSHIP FORM


DIRECTIONS
:
     Please c
omplete and submit with $15 membership dues PLUS proof of status* to:

Engineers Dedicated to a Better Tomorrow
P.O. Box 2486
Menlo Park, CA 94026-2486

FAX: (650) 323-8452

*  -  Student membership offered to full-time students only - attach proof of status (copy of  HS or college ID, current course schedule, etc.)

___Current resume attached for inclusion in DedicatedEngineers’ Engineering Internships Listing/Referral Service.

CONTACT  Information *:  

Prefix:  ____  Mr.   ____  Ms.                                                           __ Mailing Address ( ___ Permanent ___ College):
__ Name: ______________________________________     ___________________________________________
__ School: _ ____________________________________     __ City/State/Zip: _____________________________
__ Status:  ___HS ___ Fr ___So ___Jr ___Sr ___Grad              __ Email: ____________________________________
__ Eng. Major:__________________________________    __ Phone: ____________________________________

* - DedicatedEngineers’ publishes a Resource/Member Directory made available to our members and sponsors. If you do not wish to have some of the above contact info included in the Directory, simply check the box(es) next to the specific information that you want excluded. To withhold all contact info, CHECK HERE: ___

Payment of $15 student Membership Dues VIA:

 _____ Check (payable to Engineers Dedicated to a Better Tomorrow); Check #:                    
    
Bill My: _____ Visa   _____ Mastercard
           Name on Card:    ____________________________      Signature: ________________________________

           Card No:    ________________________________       Exp. Date: ________________________________


STUDENT MEMBERSHIP BENEFITS:

  1. A Membership Certificate suitable for proudly displaying your status as a “Dedicated Engineer.”

  2. The ability to participate in DedicatedEngineers’ Engineering Internships Listing/Referral Service.

  3. A free subscription to DedicatedEngineers’ Newsletter (which highlights scholarship/internship opportunities and other pertinent student information within its “Students Corner” feature).

  4. Eligibility in DedicatedEngineers’ members-only Recognition and Awards Program (recognizing outstanding organizations, programs, and individuals, including students).

  5. Discounts on publications and other materials offered by or through DedicatedEngineers.