NCATC APPLICATION FORM FOR ADVANCED TECHNOLOGY CENTERS (ATC)

NCATC APPLICATION FORM FOR ADVANCED TECHNOLOGY CENTERS (ATC)
Name of Organization*
Name of ATC (if applicable)
Best Web Site Address for us to post:
Area of Expertise (check up to eight)*

Autonomous Vehicles / DronesConstruction, Trades, Apprenticeship, etc.Energy, Power Generation, Alternative Energy, etc.Green, Sustainable Technologies, LEED, etc.Industry 4.0 / Smart Automation-ManufacturingInformation Technology (IT)Lean Six Sigma, Quality, ISO, etc.Material Science, Joining, Welding, Composites, etc.Mechatronics, Industrial Maintenance, IST, etc.MEMS and/or NanotechnologyPrecision Machining, CNC, Multi-Spindle, etc.Rapid Prototyping, Additive Manufacturing (3D)
Main Contact Person's First Name*
Main Contact Person's Last Name*
Main Contact Title*
Contact Mailing Address
Street*
City*
State*
Zip*
Contact Telephone*
Contact E-mail Address*
Contact's Secretary/Assistant
Contact's Secretary/Assistant"s Job Title
Contact's Secretary/Assistant"s Email Address
President/CEO Name*
PRESIDENT / CEO'S MAILING ADDRESS
Proper Title for President / CEO*
Street*
City*
State*
Zip*
President/CEO Telephone
President/CEO E-mail address*
Below, please enter the ATC-Related Website Link that will provide the best, current information about what qualifies/validates your organization to be considered for NCATC membership.*
Please attach a jpeg or png file of the college's logo that we may use on our website and on social media.

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Select membership time for which you are applying*

Coalition Application: Institutionsof higher education that have established or are interested in developing anAdvanced Technology Center per the criteria below. Fullmembers have general voting privileges in the Coalition and are eligible toserve on the Coalition’s Board of Directors. The annual fee is $600.Affiliate Member: NCATC serves to assist pipeline development for advanced technology training pathways. We see a direct correlation with K-12 and Adult Vocational Education programs in workforce development. Secondary Institutions that are affiliated with a Coalition Member in good standing and have an interest in and/or affiliation with advanced technology training are eligible for Affiliate Membership in the Coalition. Affiliate Members do NOT have voting privileges in the Coalition. Affiliate Members must be recommended by their affiliate Full Center member and be Board approved. The annual fee is $300.
*Referred by ( how did you hear about NCATC? ):*
A. Why do you wish to be a member of the NCATC?*
B. What do you hope to gain from membership in the NCATC?*
C. How do you believe your college/organization can contribute to the mission of the NCATC?*
D. What do you expect your active involvement to be, once your organization becomes an NCATC member?*
Please summit any additional supporting materials to NCATC via e-mail to ncatc1@gmail.com or attach to this form below. Materials can also be mailed to:

NCATC

33607 Seneca Drive

Cleveland, OH 44139

Attn: Craig McAtee, CEO | Executive Director
Please select all that apply.*

I am e-mailing additional materialsI am mailing additional materialsI am attaching additional materials (see below)**I have no additional materials
PLEASE ATTACH/SEND FLYERS, BROCHURES, NEWSPAPER ARTICLES, OR OTHER INFORMATION REGARDING YOUR CENTER THAT MIGHT PROVE HELPFUL TO THE MEMBERSHIP COMMITTEE. Examples in any or all of the following six areas will assist the evaluation of the application.

1.       Evidence of an ATC role and one that demonstrates a commitment to the philosophy of industry and technical training and service.

2.      Evidence of a commitment of the governing and administrative structures of the institution.

3.      Evidence of a commitment of resources from the institution to the ATC.

4.      Evidence of a pro-active program promotion and delivery.

5.      Evidence of a commitment to providing benefits and services to industry and education beyond training.
**Add attachments to this online application form below.
Attachment 1

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If you have questions regarding your application, please call 440.600.7749 or email ncatc1@gmail.com

Note: After receipt and review of your application by the NCATC Board of Directors, you will be notified of status, and if accepted, invoiced per the category of membership.
PLEASE SAVE OR PRINT OUT FORM BEFORE SUBMITTING.
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