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The Application Form is designed to gather information on a candidate’s qualifications. If elected into membership, this form becomes a part of the permanent record of members that eventually will be sent to the Library of Congress. Applicants and recommenders are urged to make sure that the forms are completed with this historical record in mind.

Acronyms should be spelled out the first time they are used and specific dates of travel (i.e. “8/93-6/94,” not “93/94”) should be provided. A brief curriculum vitae (up to four pages) may be attached to the form and referenced when relevant.

Membership Application

Candidate Information

Name(Required)
Home Address(Required)
Business Address
Date of Birth
Nomination Type(Required)
If being recommended by a member, please enter the name below. Also, include any other members with whom you are acquainted:
Use the +plus sign for additional members.
First Name
Last Name
Email
 
Please be sure your CV or resume includes ALL the information requested in this application. Otherwise, please fill in the fields below. Incomplete applications will not be considered.
Max. file size: 64 MB.
Please list any University or college, major field, degrees awarded, and dates, as well as any training not included on your CV/resume.
Please list any employer/organizations, positions, dates and titles not included on your CV/resume.
Please list any previous professional work experience not included on your CV/resume.
Please list any professional associations not included on your CV/resume.
If not included on your CV/resume, please list no more than 10 by most recent. Include country, purpose, and dates.
Please list no more than 10 of your most significant and representative works starting with most recent. For publications and papers, please give full title and reference information. For creative works, please give details of medium, and location of exhibition.
Please list any honors, fellowships and other achievements not included on your CV/resume.
Clear Signature
Date Submitted(Required)