APPLICATION FOR GROUP MEMBERSHIP - Society for College ...

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F. Highest educational degree attained:Associate’s Master’s Other: ____________________Bachelor’sDoctorateG. In what discipline is your highest degree?Architecture Higher education administration Urban design or planningBusiness Landscape architecture Other: __________________________Education administrationPublic administrationH. What certifications or licenses requiring continuing education do you presently hold?AICP: American Institute of Certified PlannersOther: _________________________________________Architect’s licenseOther: _________________________________________CPA: Certified Public AccountantOther: _________________________________________Landscape architect’s licenseOther: _________________________________________I. Please indicate the certifying body(ies) for these continuing education units:AIA: American Institute of ArchitectsOther: _________________________________________AICP: American Institute of Certified PlannersOther: _________________________________________ASLA: American Society of Landscape ArchitectsOther: _________________________________________NASBA: National Association of State Boards of AccountancyJ. I have read the SCUP Culture Statement and Guidelines found at www.scup.org/culture:Yes NoInstructions for remaining parts:• If you work for a college or university, government agency, accrediting agency, foundation, non-profit, or not-for-profit,complete Parts 5 and 6, Reason for Joining, and Payment Information.• If you work for a for-profit business, complete Parts 7 and 8, Reason for Joining, and Payment Information.5 Institutional Group MembershipsComplete this section ONLY if you work for (1) a postsecondary institution (college and university), or (2) a government agency,foundation, accrediting agency, non-profit, or not-for-profit organization.For U.S. institutions, the society uses the total enrollment figures reported by your institution to the Integrated PostsecondaryEducation Data System (IPEDS) to determine the appropriate institutional group.Select one:INSTITUTIONAL A WITH TOTAL ENROLLMENT OF 1–2,999 $840 USDIncludes membership privileges for three people. “Add on” members are $280 USD each.INSTITUTIONAL B WITH TOTAL ENROLLMENT OF 3,000–5,999 $1,120 USDIncludes membership privileges for four people. “Add on” members are $280 USD each.INSTITUTIONAL C WITH TOTAL ENROLLMENT OF 6,000–11,999 $1,400 USDIncludes membership privileges for five people. “Add on” members are $280 USD each.INSTITUTIONAL D WITH TOTAL ENROLLMENT OF 12,000–17,999 $1,680 USDIncludes membership privileges for six people. “Add on” members are $280 USD each.INSTITUTIONAL E WITH TOTAL ENROLLMENT OF 18,000 AND OVER $1,960 USDIncludes membership privileges for seven people. “Add on” members are $280 USD each.INSTITUTIONAL F COMMUNITY COLLEGE/SYSTEM OFFICE $840 USDIncludes membership privileges for three people. “Add on” members are $280 USD each.INSTITUTIONAL G GOVERNMENT, FOUNDATIONS, ACCREDITING AGENCIES, NON-PROFITS,AND NOT-FOR-PROFIT ORGANIZATIONS $840 USDIncludes membership privileges for three people. “Add on” members are $280 USD each.9/2013 Page 4
6 Tell Us About Your Institution/Agency/Foundation/Non-Profita. I work for a: (Choose one)Higher education institution State government agency Non-profit organizationFederal government agency Foundation Not-for-profit organizationAccrediting agency Systems office For-profit businessGoverning boardLocal government agency7 Corporate Group MembershipsComplete this section ONLY if you work for a for-profit business or consultancy.SMALL CORPORATE GROUP MEMBERSHIP $900 USDIncludes membership privileges for three people. “Add on” members are $300 USD each.LARGE CORPORATE GROUP MEMBERSHIP $1,800 USDIncludes membership privileges for six people. “Add on” members are $300 USD each.8 Tell Us About Your firma. What services does your firm provide? (Check all that apply)Academic Planning Facility Management Life Cycle AnalysisAccessibility Feasibility Studies Lighting DesignAcoustics Financial Planning MaintenanceAdaptive Reuse Food Service/Dining Master PlanningArchitecture Geotechnical Engineering MediaCampus Housing HVAC/Air Quality Parking/TransportationCampus Planning/Design Historic Architecture Parks & RecreationCivil Engineering Historic Cultural Landscape Performing ArtsConstruction Historic Preservation PlanningConstruction Management Interior Design Project ManagementEco-Technologies LEED Certification Services Space ManagementEnergy Planning Laboratories/Healthcare Technology/Information ManagementEngineering Land Planning Wayfinding/Signage/GraphicsEnvironmental Planning Landscape Architecture Other_____________________Estimating/CostingLandscape Designb. What types of buildings/space usage does your firm specialize in, if any? (Check all that apply)Academic Libraries PlazasGardens/Arboreta Museums RecreationGreenways/Trails Office Religious FacilitiesHealth Facilities Parking Research FacilitiesHousing Parks Stadiums/ArenasLaboratories Performing Arts Other_____________________Reason for JoiningA. Please share why your organization has chosen to purchase a group membership with SCUP:___________________________________________________________________________________________________________________B. How did your organization hear about SCUP? (Choose one)Advertisement Planning for Higher Education SCUP websiteAnnual, international conference Postcard The SCUP ScanBook Regional conference/event Trends in Higher EducationBooth SCUP Award WebcastColleague SCUP Member News WorkshopMembership brochure SCUP Planning Institute Other: __________________9/2013 Page 5
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