Student Membership

Student Membership

THE SOCIETY OF MARINE PORT ENGINEERS

NEW YORK, NY, INC.

Student Membership Application

Fill out the attached, get a counter signature and mail or fax to the society office. We will notify you of acceptance.

APPLICATION FOR STUDENT MEMBERSHIP
The undersigned hereby declares that the following qualifications are accurate, and petitions for membership in the Society of Marine Port Engineers as a STUDENT MEMBER.

FULL NAME:

BIRTH DATE:

CLASS OF:

MAJOR/PROGRAM:

SCHOOL NAME:

ADDRESS AT SCHOOL:

YOUR PHONE NUMBER AT SCHOOL:

YOUR PHONE NUMBER AT HOME:

HOME ADDRESS:

EMAIL ADDRESS AT SCHOOL:

SECONDARY EMAIL ADDRESS:

This application must be counter signed by an engineering teacher or professional at your school, or a SMPE member. There is no Student Membership Initiation Fee or annual dues fee. If you wish to convert to full or associate membership upon graduation, the regular initiation fee will be waived.

COUNTER SIGNEE:

Print Name	Signature	Position	Date

APPLICANT:

I, the petitioner whose signature is affixed hereto being duly acquainted with the high aim and purpose of this society to further the development and progress of the American Merchant Marine industry and to elevate the business and professional standing of the Marine Port Engineer, and knowing of no physical legal or moral reason why I should not participate in this forward movement also declare that I will become familiar with the by-laws of the Society which I will strive to uphold to the best of my ability if accepted, do hereby respectfully submit my qualifications for consideration to election to membership in this honorable body.

Print Name	Applicant Signature	Date

S.M.P.E.N.Y. PO Box 369 EATONTOWN, NJ 07724
PH 732-381-7673 FAX 732-381-2046