AAEA Membership Form
Please fill out as much as you can, noting that there are some required fields. Contact Jill Balaster, (jbalaster@arkansasadvancedenergy.com) with any questions.
I am a
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Business
Nonprofit
Government Entity
Young Professional/Student
Other
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Emerging Leaders Program
About Me
Check All That Apply
I am a student.
I am enrolled in some type of continuing education.
I am looking for a job in the advanced energy industry.
I have less than five years of experience in the advanced energy industry.
Other
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Where do you live?
City, State
Provide a personal statement (250 words) explaining your interest in the advanced energy sector and how participation in the ELP will support your career goals.
Submit a current résumé highlighting relevant coursework, internships, or work experience.
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About the Organization
Organization's Name
*
Organization's Industry
Please Select
Renewable Energy
Energy Efficiency
Alternative Fuels/Bioenergy
Education/Research
Service Provider*
Indirect (Legal, Accounting, Insurance, Contractor, Engineer, etc.)*
Other*
*Please describe below
*If you selected service provider, indirect, or other, please describe
Organization's Number of Employees
Organization's Primary Email
example@example.com
Organization's Billing Email
*
example@example.com
Main Point of Contact Name
*
First Name
Last Name
Main Point of Contact Title
Main Point of Contact Email
*
example@example.com
Main Point of Contact Number
Please enter a valid phone number.
I am interested in the following (check all that apply):
Advocacy & Policy Support
Partnerships & Collaboration
Education & Training
Grant Assistance & Resources
Community Engagement
Economic & Workforce Development
Public Relations & Brand Visibility
Advertising & Promotions
Other
I would like to be invited to the following committees:
Energy Efficiency Solutions Committee: This committee concentrates on existing energy efficiency initiatives and their widespread adoption.
Renewable Energy Committee: Dedicated to staying at the forefront of the energy sector, this committee emphasizes emerging technologies, creative solutions, and innovations. Topics include the integration of advanced solutions such as energy storage, microgrids, and smart grid technologies.
Operational Affairs/Internal Affairs Committee: This committee plays a crucial role in member recruitment, engaging members, assisting in event planning and execution, and providing support for special projects.
Utility & Transmission Committee: Bringing together the Utilities sector with transmission efforts, this committee focuses on grid enhancement and increasing reliability.
Sustainable Development & Infrastructure Committee: This committee amalgamates Real Estate/Construction, Finance, and Transportation, with a focus on sustainable development, best practices, and infrastructure improvements.
Partnerships, Community Engagement, and Grants Committee: Centered on building partnerships, community engagement, public relations, and researching and applying for grants.
Organization's Main Number
Please enter a valid phone number.
Organization's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization's Above Address Is
Physical
Mailing
Both
Other
Organization's Website
*
Please provide a brief description of your company/organization
*
Company Logo
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Distribution List Recipients
In the fields below, please add the name(s) and email(s) of anyone who would like to receive member updates and newsletters.
Additional Name 1
First Name
Last Name
Additional Email 1
example@example.com
Additional Name 2
First Name
Last Name
Additional Email 2
example@example.com
Additional Name 3
First Name
Last Name
Additional Email 3
example@example.com
Additional Name 4
First Name
Last Name
Additional Email 4
example@example.com
Additional Name 5
First Name
Last Name
Additional Email 5
example@example.com
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Organization Socials
We'd love to follow you on socials; let us know how to support!
Organization's Instagram
Organization's Facebook
Organization's LinkedIn
Organization's X (formerly Twitter)
Organization's Newsletter Link
We like to be in the know with your organization so we can highlight you. If you have a newsletter, please provide the link to subscribe.
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Membership Information
Membership Levels
There are varying membership tiers to choose from, from our amazing annual sponsor members who help keep AAEA running, to business tiers based on number of employees, to institution and Emerging Leader memberships. Please indicate which membership tier you would like to join at. Note that only nonprofits, educational institutions, and government entities are considered “Institutional Members.” Custom memberships are available. Memberships renew annually in January; if joining outside of that time, your dues will be prorated (Emerging Leaders excluded).
Membership Level
*
Please Select
Champion • Annual Sponsor Membership • $25,000 Annually
Leader • Annual Sponsor Membership • $10,000 Annually
Innovator • Annual Sponsor Membership • $5,000 Annually
Business Membership (51+ employees) • $3,000 Annually
Business Membership (6-50 employees) • $1,500 Annually
Business Membership (1-5 employees) • $750 Annually
Institutional* Membership • $500 Annually
Emerging Leader Program • $25 Annually
Reciprocal Membership
I prefer to pay by
*
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ACH
Credit Card
Check
I need an invoice to be sent to the billing email.
*
Yes
No
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Permissions
By submitting this form, I hereby authorize Arkansas Advanced Energy Association (AAEA) to send me emails and other communications related to membership, events, and organizational updates.
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