NCATC APPLICATION FORM FOR ADVANCED TECHNOLOGY CENTERS (ATC)

NCATC APPLICATION FORM FOR ADVANCED TECHNOLOGY CENTERS (ATC)
Name of Organization *
Name of ATC (if applicable)
Invoice #
Date Paid
Date all Info was addeded to database
Date sent to Craig
Best Web Site Address for us to post:
Area of Expertise (check up to five) *

Construction, Trades, Apprenticeship, etc. Energy, Power Generation, Alternative Energy, etc. Green, Sustainable Technologies, LEED, etc. Information Technology (IT) Lean Six Sigma, Quality, ISO, etc. Material Science, Joining, Welding, Composites, etc. Mechatronics, Industrial Maintenance, IST, etc. MEMS and/or Nanotechnology Precision 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. *
Select membership time for which you are applying *

Full Center Member: Institutions of higher education having established, operating ATC’s are eligible for Full Membership. As well as having general voting privileges in the Coalition, Full members are eligible to serve on the Coalition’s Board of Directors. Applicants requesting this category of membership will be asked to provide evidence* of their ATC’s level of activity. The annual fee is $600. Associate Member: Institutions of higher education that have an interest in or are in the process of developing an ATC are eligible for Associate Membership in the Coalition. Associate members have voting privileges in the Coalition. The annual fee is $600. Affiliate Member: Institutions of higher education that are affiliated with a Full Center Member in good standing that have an interest and/or affiliation with advanced technology training are eligible for Affiliate Membership in the Coalition. The Full Center must assume full financial responsibility for the Affiliate Member(s) and all anniversary dates will be the same. 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. System-Centric Membership: Each organization within the system must meet the same criteria and categories above--a combination of Full Center and Associate is allowed--and coordinates invoicing through the system office. For discounted pricing schedule, please refer to the NCATC System-Centric Pricing Matrix.
*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, Executive Director
Please select all that apply. *

I am e-mailing additional materials I am mailing additional materials I 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 commitment to the kind of programming that distinguishes ATCs from other postsecondary programs. 5. Evidence of a pro-active program promotion and delivery. 6. 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
Attachment 2
Attachment 3
Attachment 4
Attachment 5
Attachment 6
Once your application has been received it will be discussed by the NCATC board of directors; you will be notified upon their decision. If you have any questions regarding the application, its status or receipt, please e-mail Craig McAtee at ncatc1@gmail.com
PLEASE SAVE OR PRINT OUT FORM BEFORE SUBMITTING.
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