Life Member Application

Life Member Application
By submitting the Life Membership application, I verify that:
1. I am at least 65 years of age.
2. I have been an active and continuous APA member for at least 25 years; and
3. I understand my membership status will be updated to Life Member beginning with the next renewal period.
Name of Applicant*

First NameLast Name
APA Member ID:*
Email*
Date of Birth*

MonthDayYear
This confirms that you have reached the age requirement, or will reach the age requirement by the time of your membership period.
Request for AICP Certification Maintenance (CM) exemption:
Please select one option below.

Non-AICP Member - I am not an AICP member and this does not apply to me.Life Member Exemption (for individuals who are not retired) - I request the option to satisfy CM requirements with a minimum of 16 CM credits, including 1 credit each of Equity, Law, Ethics and Sustainability and Resilience, per reporting period.Retired CM Exemption (for individuals who are retired) - I request a complete CM exemption because I am completely retired and do not engage in any planning-related profession, business, or trade (excludes part-time non-planning or nonprofessional work).
I understand that selecting this constitutes a legal signature and I confirm the above information is true.*

I confirm.
Should be Empty: