American Council of Engineering Companies of Minnesota - Membership Application
Name
*
First Name
Last Name
Email
*
example@example.com
Firm Name:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate the Fields of Practice for your firm:
*
Civil
Construction Management
Electrical
Energy Conservation
Environmental
Fire Safety
Geotechnical
Industrial
Mechanical
Metallurgical
Municipal
Product Development
Structural
Surveying
Transportation
Description: briefly describe you firm or business's activities, and use the upload below if necessary
Description upload (optional)
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Please upload your firm logo here - PNG or EPS file format preferred, feel free to include additional files with alternate layouts / colors
*
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Business Organization Type:
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Sole Proprietorship
Partnership
Corporation
Engineering Department, Division, or Subsidiary of a Private Non-Engineering Company
Other
Total number of personnel in Minnesota
*
Total number of personnel in Minnesota involved in providing consulting engineering services (include all support personnel)
*
Please list a Principal Representative (those with ownership interest or exercising management / key responsibilities). Minnesota law requires at least one Principal or Associate Representative of the firm to be licensed as an engineer and maintain a regular presence in the state.
*
Additional Principal Representative
Associate Representative
Additional Associate Representative
Principal / Associate Representative List upload (optional): you may also provide a list of firm representatives by uploading a document here (word / excel are recommended formats)
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Reference: please list names, companies and addresses of principals, officers, associates or individual engineers registered in the state of Minnesota who are members of ACEC Minnesota
*
Additional Reference
Reference List upload (optional): you may also provide a list of references by uploading a document here (word / excel are recommended formats)
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The undersigned agrees that if this application is accepted, they will uphold the Bylaws of the American Council of Engineering Companies of Minnesota.
*
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