FES Membership Application

MEMBERSHIP APPLICATION

Thank you for your interest in the Florida Engineering Society (FES). To begin or rquest additional information about membership in FES, please complete the form. A Member Services representative will contact you within 24 hours (Monday - Friday) of submitting your form. Contact the Florida Engineering Society (FES) Member Services Department at 850-224-7121 with any questions.

Please use your complete and official job title and firm or agency name. This information will be used in member records and publications. Please do not abbreviate.

Interested in joining immediately
Interested in additional information
First Name Last Name	Nickname Date of Birth
Employer	Title
Preferred Mailing Address: Home Business	Name of Spouse
Business Address Street Address City State Zip Code Phone Fax Email County	Home Address Street Address City State Zip Code Phone Fax County

REGISTRATION

	State	Registration Number	Date Registered
I am a registered Professional Engineer	Yes
I am a certified Engineer Intern	Yes
(If registered in state other than Florida, send a copy of current registration.)

EDUCATION

Undergraduate Degree

Major

University

Date Graduated

NPSE SECTION

Are you a current or former member of NSPE? Yes No	NSPE Member #
NSPE dues paid through (date)	Name of State
If currently a member of another state society, do you wish to arrange to pay for your future NSPE dues through FES? Yes No

SPONSOR (Applicants residing in Florida are required to have their application endorsed by a “sponsor” who shall be a member of FES. If you do not know an FES member, we will gladly assist you upon receipt of your application.)
	Sponsor Name	Date

HOW DID YOU HEAR ABOUT US

How did you hear about us?
Co-worker Direct Mail E-mail Promotion FES/FICE Seminar Website Other

QUALIFICATIONS AND DUES INFORMATION

Use the following to calculate your dues OR send in your $20 application fee and let us invoice you.

FES membership includes membership in NSPE, FES, a local chapter, and a state practice section. The FES dues year begins October 1 and
ends September 30. National dues are collected and forwarded to NSPE in compliance with their dues year, which runs from January 1 through
December 31. Dues payments are due on October 1 each year and are prorated for new members on a quarterly basis as follows:

National Dues	State and Chapter Dues
October 1–March 31 ........................... Full Year April 1–September 30 .......................... 1/2 Year	October 1–December 31 ...................... Full year January 1–March 31 .............................. 3/4 year April 1–June 30 ..................................... 1/2 year July 1–September 30 .............................. 1/4 year

1. APPLICATION FEE (A $20 application fee must accompany your application)

$20.00

2. APPLICATION GRADE (Choose One–Includes NSPE and FES dues, unless otherwise noted)

A PROFESSIONAL ENGINEER MEMBER shall be a Professional Engineer as defined by the holding of a valid license or certificate of engineering registration issued under the laws of any state, territory, possession, or district of the United States or Canada. If registered in a state other than Florida, please enclose a copy of current registration.
NSPE $145 + FES $142 = $287

$287

AN ENGINEER INTERN MEMBER shall be an Engineer Intern, or equivalent holding a valid certificate issued under the laws of any state, territory, possession, or district of the United States or Canada. Include proof of status with application. NSPE $145 + FES $142 = $287

$287

AN ASSOCIATE MEMBER shall be a graduate engineer qualified to be admitted to examination as an Engineer Intern as defined in Chapter 471.013 of the Florida Statutes but who does not hold a valid certificate as an Engineer Intern-in-Training in any state, territory, possession or district of the United States or Canada. State ONLY membership. Please include evidence of engineering degree. FES $142 = $142

$142

A RESPECT MEMBER (Retired Special Transfer) (a) shall be at least 65 years of age, (b) shall have retired from the active practice of professional engineering, and (c) shall have been made a Life Member of the National Society of Professional Engineers through his membership in a State Society other than the Florida Engineering Society.
NSPE $0 + FES $22 = $22

$22

AN ENGINEERING SCHOLAR MEMBER shall be a licensed professional engineer, or engineer intern who is also a a full-time student pursuing a degree in engineering or affiliated program. Please include a copy of acceptance letter.
NSPE $73 + FES $71 = $144

$144

A RECENT UNDERGRADUATE MEMBER shall be a graduate of an ABET-accredited undergraduate engineering program
within the last five years. (Please Select One)

Select One	Year Post Graduation	SPE Dues	NFES Dues	Total
	1	$29	$28	$57
	2	$58	$57	$115
	3	$87	$85	$172
	4	$116	$114	$230
	5	$145	$142	$287

3. CHAPTER DUES (Choose One) For All Grades Except RESPECT. (Out-of-state members are not required to pay chapter dues.)

BIG BEND*** (Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, and Wakulla Counties)

$15

BROWARD*** (Broward County)

$13

CALUSA*** (Charlotte, Collier, Glades, Hendry, and Lee Counties)

$15

CENTRAL FLORIDA (Lake, Orange, Osceola, Seminole, and Sumter Counties)

$15

DAYTONA BEACH*** (Flagler and Volusia Counties)

$15

EMERALD COAST (Okaloosa and Walton Counties)

$10

FOREST*** (Citrus, Levy and Marion Counties)

$20

GULF COAST (Bay, Calhoun, Gulf, Holmes, Jackson, Walton, and Washington Counties)

INDIAN RIVER*** (Brevard and Indian River Counties)

$15

MIAMI*** (Miami-Dade and Monroe Counties)

$20

MYAKKA (DeSoto, Manatee, and Sarasota Counties)

$20

NATURE COAST (Hernando and Pasco Counties)

$20

NORTH CENTRAL (Alachua, Dixie, Gilchrist, Hamilton, Lafayette, Putnam, and Suwannee Counties)

$10

NORTHEAST FLORIDA*** (Baker, Bradford, Clay, Columbia, Duval, Nassau, St. Johns, and Union Counties)

$15

NORTHWEST FLORIDA*** (Escambia and Santa Rosa Counties)

$10

PALM BEACH (Palm Beach County)

$20

PINELLAS (Pinellas County)

$20

RIDGE*** (Hardee and Polk Counties)

$12

TAMPA*** (Hillsborough and Pasco Counties)

$12

TREASURE COAST (Highlands, Martin, Okeechobee, and St. Lucie Counties)

$15

RESPECT MEMBERS (Big Bend and Indian River Chapters)

ALL OTHER CHAPTERS RESPECT MEMBERS

*** Chapters offer half dues or discounts to retired members

4. Practice Section (Please choose the practice section which best describes your field of employment.)

$12

PEPP Private Practice	FPEG Government	FPEI Industry
FEE Education	FECON Construction	FPER Retired

I certify that the above statements are correct and agree that I will be governed by the Charter and Bylaws and policies of the Society and will conform to the FES/NSPE Code of Ethics as they currently exist and as they may be amended from time-to-time (the most current copy of the Code of Ethics is available at www.fleng.org).

Enter Text Shown in Picture: