Affiliate Member Application Form

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You may use this on-line form to apply and pay for an affiliate membership. Affiliate Members are defined as anyone with an active interest in ergonomics, ergonomics research, development, application or teaching, but with no formal educational background in ergonomics or a related discipline.

Applications received after July 1st are entitled to a 40% discount on first-year member dues, with the exception of student membership.

Applications received from November 1st onward will be processed for the next membership year with the remainder of the current year included.

Note: If you were a former ACE member in the past 3 years, please DO NOT use this form. You must complete a renewal.

Personal Information

Home Address

Professional Information

Professional Endorsement

Where possible, please provide the name of an ACE Member who is familiar with your work and will endorse your application.

Work History

Position 1

Position 2

Education History

Acceptance as a Member requires that the applicant have an educational background in ergonomics or a related discipline (e.g. kinesiology, psychology, engineering, business, industrial design, rehabilitation and medicine related disciplines, etc.)  This includes academic training at the bachelor's, master's or doctorate level.

Please fill out your education history below, and include a copy of your current résumé / CV.

Degree 1

Degree 2

Preferences

Password

Please select a password. Once your membership is approved, you will use this password to login to the members-only areas of the site.

Password must be a minimum of 6 characters long and must contain at least 1 uppercase letter, 1 lowercase letter and 1 number.

Membership Directory Opt-In

The ACE Membership Directory is a networking tool that is accessible only to the ACE membership. You may choose whether you would like your name and contact information to show in the directory and what specific information you would like other members to see.

Mentorship

Mentoring of ergonimists is an effective way to earn Continuance of Certification (COC) points. By checking this option, you agree to be listed as a mentor in the directory of certificants.

Other

By submitting this form, you certify the following:

I believe the information provided to be correct. If accepted as a member, I agree to abide by the by-laws and promote the objectives of the Association.

 

When you click Submit, you will begin the payment process. Note that a 30.00 processing fee is added to new membership dues. 

If you choose to pay by cheque, an invoice will be generated with the address to send the cheque to. Your application will be processed once payment has been received. If you choose to pay by credit card, your payment will be processed immediately. Payments are made over a secure channel and we do not save your credit information.

If you do not wish to proceed with this transaction, do not click on Submit. Please use your browser's Back button or click on another link to exit from this page.