Uniformed Service and Civilian Membership Application Form

This form is for uniformed military personnel or Government civilians working for local, state and federal government agencies. If you are not in this membership category or if you have navigated to this page in error, please click here to be directed to the appropriate membership form.

Please note: This form is for credit card payment using our secure connection. If you are paying for your membership by check, please use the appropriate PDF form and submit by mail.

Fields with an asterisk ( * ) are required.

Select Membership Type *

Uniformed Service Member
Gov't Civilian Member - 5 year
Gov't Civilian Member - 3 Year

Personal Information

* Prefix: (Mr., CAPT, Maj., etc.)

* First Name: MI:

* Last Name: Suffix (Jr., P.E., etc.):

* Post Affiliation:
Post 1:
Post 2:
Post 3:

National Committee Interests

Please select any of the following national committees you may be interested in. A committee member will contact you.

National Committees:

Architecture Practice CommitteeEngr & Constr. Camp
Cyber Infrastructure Security Task ForceCollege Outreach
Emergency Preparedness & Infrastructure ResilianceEnergy & Sustainability
EnvironmentalFacilities Assessment Mgmt
InternationalJoint Engineer Contingency Operations
Non-commissioned OfficersSmall Business
The Infrastructure Security Partnership for Emergency PreparednessYoung Member Council

Preferred Contact Address

*Address Type: Home    Work   
If Work ONLY, then please enter the Organization Name:
*Street Address:
*City:
*State/Province/APO/
U.S. Territory:
*ZIP/Postal Code:
Country For APO addresses, please do NOT enter a country!
Phone: (U.S. only)
Foreign Phone Number:
*E-Mail Address:

Alternate Contact Address

Address Type: Home   Work   
Street Address:
City:
State/Province/APO/
U.S. Territory:
ZIP/ Postal Code:
Country:
Phone: (U.S. only)
E-Mail Address:

Demographic Information

The following demographic information is requested for SAME to fully process your application.

Sex: Male Female Birth Date: [Format: MM/DD/YYYY]
Employer:
Uniformed Civilian
USA
USAF
USN
USMC
USCG
USPHS
NOAA
USA
USAF
USN
USMC
DOD
USCG
USPHS
NOAA
Non-DOD Civilian
State, Local or County Gov't
Occupation:
ArchitectureBusiness Development
Construction & BuildingContract Management
EducationEnergy & Power
EngineeringEnvironmental
Facility ManagementInformation Technology
Legal PracticeOther
Planning & LogisticsProgram Management
Project ManagementResearch & Development
SurveyingUtility
Level of Responsibility:
Executive Level Senior Management
Middle Management Staff
Registration and Certification:

American Institute of Architects
Certified Planner
Board Certified Environmental Engineer
Certified Commercial Contract Manager
Certified Cost Engineer
Concrete Construction Inspector
Certified Construction Manager
Construction Documents Technologist
Certified Electrical Inspector
Certified Energy Manager
Certified Environmental Professional
Certified Federal Contracts Manager
Certified Facility Manager
Certified General Contractor
Certified Hazardous Materials Manager
Construction Health and Safety Technician
Certified Industrial Hygienist
Certified Meeting Professional
Certified Professional Contracts Manager
Certified Professional Estimator
Certified Petroleum Geologist
Certified Plant Maintenance Manager
Certified Plant Supervisor
Certified Professional Services Marketer
Certified Safety Professional
Certified Value Specialist
Design-Build Institute of America
Juris Doctorate
Leadership in Energy & Environmental Design
LEED Accredited Professional
Master of Laws
Certified Engineering Technologist
Professional Engineer
Professional Geologist
Doctorate Degree
Professional Land Surveyor
Project Management Professional
Planning & Scheduling Professional
Professional Traffic Operations Engineer
Professional Wetland Scientist
Qualified Environmental Professional
Registered Architect
Renewable Energy Professional
Licensed Landscape Architect
Registered Professional Archeologist
Registered Professional Land Surveyor
Structural Engineer

  If you are in the National Guard or Reserve, please select one:
Air National GuardArmy National Guard
OtherUS Air Force
US ArmyUS Coast Guard
US Marine CorpsUS Navy

Membership Dues

Important Note: SAME Membership dues include a $15 subscription to The Military Engineer.

SAME Dues
Education & Mentoring Fund Donation
Wounded Warrior Initiative Donation (will go to QL+):
Total:

Payment Information

*Card Type   Visa
  MasterCard
  American Express
*Card Number
*Exp. Date / (YY)

Please report membership problems to the Membership Department at member@same.org.