Apply for Membership

This page allows you to apply for a CSME membership. Please see this page for more information on the different kinds of CSME membership and their terms and conditions.

After this form is submitted, CSME staff will review your application and contact you about further steps.

If you have any questions about the application or CSME, please do not hesitate to contact us.

Are you currently a student?

Student Membership Request

Account Information

First Name

Last Name

Password

Password (confirm)

Phone Number

Mailing Address

Address Line 1

Address Line 2

Address Line 3

City

Country

Province/State

Postal/ZIP Code

I authorize CSME to send me notifications (e.g. Bulletin Newsletter) via email.

Student Information

Affiliation

Academic Program

Other

Student Number

Expected Graduation Date

CSME Student Chapter Position (if held)

Comment (optional)

New Membership Request

Account Information

First Name

Last Name

Password

Password (confirm)

Phone Number

Mailing Address

Address Line 1

Address Line 2

Address Line 3

City

Country

Province/State

Postal/ZIP Code

I authorize CSME to send me notifications (e.g. Bulletin Newsletter) via email.

I wish to receive a hard copy of the CSME Bulletin via post.

Professional Information

Title

Professional Title

Other Professional Title

Technical Disciplines

Academic Record

University 1

Degree 1

Major 1

Year 1

University 2

Degree 2

Major 2

Year 2

University 3

Degree 3

Major 3

Year 3

University 4

Degree 4

Major 4

Year 4

Work Record

Organization 1

Duration 1

Position 1

Organization 2

Duration 2

Position 2

Organization 3

Duration 3

Position 3

Organization 4

Duration 4

Position 4

Other Memberships (one per line).

Referral Information

Name

Organization

Comment (optional)