Request Upgrade to Member Status

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class="c-layout-sidebar-content c-align-left"> <div class="c-content-title-1"> <h1 class="c-left c-font-uppercase c-font-bold c-font-30">Request Upgrade to Member Status</h1> <div class="c-line-left c-theme-bg"></div> </div> <div align="center"> <p><i><b>You must be a current Associate member to apply for upgrade to Member.<br /> If your membership has expired or you are not yet an Associate member, please renew your membership dues or join <a href="https://portal.aes.org/">here</a>.</b></i></p> <h3>ADDITIONAL INFORMATION REQUIRED FOR MEMBERSHIP</h3> <p><i><b>Please fill out completely (in English) and press "submit" at bottom of page.<br> If you don't know your member number, visit your <a href="/members/">Member Portal page</a> or <a href="http://www.aes.org/contact/member_research.cfm">fill out this form</a>.<br> A <a href="http://www.aes.org/info/AESapFullSupplement.pdf">PDF version of this form</a> is also available.</b></i></p> <br/> </div> <form action="./" method="post"> <font face="comic sans ms,arial,helvetica" size=+1><b>1</b></font> <font face="arial, helvetica"><b>MEMBER INFORMATION:</b> <table cellpadding=1 cellspacing=1 border=0> <tr> <td nowrap> <font color="red">*</font>Your Name: <input type=text size=40 maxlength=150 name="memName" value=""><br> <font color="red">*</font>AES Member Number: <input type=text size=15 maxlength=150 name="memNumber" value=""><br> <font color="red">*</font>Country of Residence: <select name="memCountry"><option></option><option>United States</option><option>Canada</option><option>United Kingdom</option> <option></option> <option >Afghanistan</option> <option >脜land Islands</option> <option >Albania</option> <option >Algeria</option> <option >American Samoa</option> <option >Andorra</option> <option >Angola</option> <option >Anguilla</option> <option >Antarctica</option> <option >Antigua and Barbuda</option> <option >Argentina</option> <option >Armenia</option> <option >Aruba</option> <option >Australia</option> <option >Austria</option> <option >Azerbaijan</option> <option >Bahamas</option> <option >Bahrain</option> <option >Bangladesh</option> <option >Barbados</option> <option >Belarus</option> <option >Belgium</option> <option >Belize</option> <option >Benin</option> <option >Bermuda</option> <option >Bhutan</option> <option >Bolivia</option> <option >Bosnia and Herzegovina</option> <option >Botswana</option> <option >Bouvet Island</option> <option >Brazil</option> <option >British Indian Ocean Territory</option> <option >Brunei Darussalam</option> <option >Bulgaria</option> <option >Burkina Faso</option> <option >Burundi</option> <option >Cambodia</option> <option >Cameroon</option> <option >Canada</option> <option >Cape Verde</option> <option >Cayman Islands</option> <option >Central African Republic</option> <option >Chad</option> <option >Chile</option> <option >China</option> <option >Christmas Island</option> <option >Cocos (Keeling) Islands</option> <option >Colombia</option> <option >Comoros</option> <option >Congo</option> <option >Cook Islands</option> <option >Costa Rica</option> <option >Cote D'ivoire</option> <option >Croatia</option> <option >Cuba</option> <option >Cyprus</option> <option >Czech Republic</option> <option >Democratic Republic of the Congo</option> <option >Denmark</option> <option >Djibouti</option> <option >Dominica</option> <option >Dominican Republic</option> <option >Ecuador</option> <option >Egypt</option> <option >El Salvador</option> <option >Equatorial Guinea</option> <option >Eritrea</option> <option >Estonia</option> <option >Ethiopia</option> <option >Falkland Islands (Malvinas)</option> <option >Faroe Islands</option> <option >Fiji</option> <option >Finland</option> <option >France</option> <option >French Guiana</option> <option >French Polynesia</option> <option >French Southern Territories</option> <option >Gabon</option> <option >Gambia</option> <option >Georgia</option> <option >Germany</option> <option >Ghana</option> <option >Gibraltar</option> <option >Greece</option> <option >Greenland</option> <option >Grenada</option> <option >Guadeloupe</option> <option >Guam</option> <option >Guatemala</option> <option >Guinea</option> <option >Guinea-Bissau</option> <option >Guyana</option> <option >Haiti</option> <option >Heard and Mc Donald Islands</option> <option >Honduras</option> <option >Hong Kong</option> <option >Hungary</option> <option >Iceland</option> <option >India</option> <option >Indonesia</option> <option >Iran (Islamic Republic of)</option> <option >Iraq</option> <option >Ireland</option> <option >Israel</option> <option >Italy</option> <option >Jamaica</option> <option >Japan</option> <option >Jordan</option> <option >Kazakhstan</option> <option >Kenya</option> <option >Kiribati</option> <option >Korea (Democratic People's Republic of)</option> <option >Korea (Republic of)</option> <option >Kosovo</option> <option >Kuwait</option> <option >Kyrgyzstan</option> <option >Lao People's Democratic Republic</option> <option >Latvia</option> <option >Lebanon</option> <option >Lesotho</option> <option >Liberia</option> <option >Libyan Arab Jamahiriya</option> <option >Liechtenstein</option> <option >Lithuania</option> <option >Luxembourg</option> <option >Macao</option> <option >Macedonia</option> <option >Madagascar</option> <option >Malawi</option> <option >Malaysia</option> <option >Maldives</option> <option >Mali</option> <option >Malta</option> <option >Marshall Islands</option> <option >Martinique</option> <option >Mauritania</option> <option >Mauritius</option> <option >Mayotte</option> <option >Mexico</option> <option >Micronesia</option> <option >Moldova</option> <option >Monaco</option> <option >Mongolia</option> <option >Montenegro</option> <option >Montserrat</option> <option >Morocco</option> <option >Mozambique</option> <option >Myanmar</option> <option >Namibia</option> <option >Nauru</option> <option >Nepal</option> <option >Netherlands</option> <option >Netherlands Antilles</option> <option >New Caledonia</option> <option >New Zealand</option> <option >Nicaragua</option> <option >Niger</option> <option >Nigeria</option> <option >Niue</option> <option >Norfolk Island</option> <option >Northern Mariana Islands</option> <option >Norway</option> <option >Oman</option> <option >Pakistan</option> <option >Palau</option> <option >Palestinian Authority</option> <option >Panama</option> <option >Papua New Guinea</option> <option >Paraguay</option> <option >Peru</option> <option >Philippines</option> <option >Pitcairn</option> <option >Poland</option> <option >Portugal</option> <option >Puerto Rico</option> <option >Qatar</option> <option >Reunion</option> <option >Romania</option> <option >Russian Federation</option> <option >Rwanda</option> <option >Saint Barth茅lemy</option> <option >Saint Kitts and Nevis</option> <option >Saint Lucia</option> <option >Saint Martin (French part)</option> <option >Saint Vincent and The Grenadines</option> <option >Samoa</option> <option >San Marino</option> <option >Sao Tome and Principe</option> <option >Saudi Arabia</option> <option >Senegal</option> <option >Serbia</option> <option >Seychelles</option> <option >Sierra Leone</option> <option >Singapore</option> <option >Slovakia</option> <option >Slovenia</option> <option >Solomon Islands</option> <option >Somalia</option> <option >South Africa</option> <option >South Georgia and the South Sandwich Islands</option> <option >Spain</option> <option >Sri Lanka</option> <option >St. Helena</option> <option >St. Pierre and Miquelon</option> <option >Sudan</option> <option >Suriname</option> <option >Svalbard and Jan Mayen Islands</option> <option >Swaziland</option> <option >Sweden</option> <option >Switzerland</option> <option >Syrian Arab Republic</option> <option >Taiwan (Republic of China)</option> <option >Tajikistan</option> <option >Thailand</option> <option >Timor-Leste</option> <option >Togo</option> <option >Tokelau</option> <option >Tonga</option> <option >Trinidad and Tobago</option> <option >Tunisia</option> <option >Turkey</option> <option >Turkmenistan</option> <option >Turks and Caicos Islands</option> <option >Tuvalu</option> <option >Uganda</option> <option >Ukraine</option> <option >United Arab Emirates</option> <option >United Kingdom</option> <option >United Republic of Tanzania</option> <option >United States</option> <option >United States Minor Outlying Islands</option> <option >Uruguay</option> <option >Uzbekistan</option> <option >Vanuatu</option> <option >Vatican City State (Holy See)</option> <option >Venezuela</option> <option >Viet Nam</option> <option >Virgin Islands (British)</option> <option >Virgin Islands (U.S.)</option> <option >Wallis and Futuna Islands</option> <option >Western Sahara</option> <option >Yemen</option> <option >Zambia</option> <option >Zimbabwe</option> </select><br> <font color="red">*</font>Email Address: <input type="email" size="40" maxlength="150" name="memEmail" value=""><br> <br> <font color="red">*</font>All "Member Information" fields are required. </td> </tr> </table> </font> <hr noshade> <font face="comic sans ms,arial,helvetica" size=+1><b>2</b></font> <font face="arial, helvetica"><b> EDUCATION</b> <table cellpadding=1 cellspacing=1 border=0> <tr> <td nowrap> <b>Institution:</b> <input type=text size=40 maxlength=150 name="eduInstitution1" value=""></td> <td nowrap> Place: <input type=text size=40 maxlength=150 name="eduPlace1" value=""></td> </tr><tr> <td nowrap> Major or Subject: <input type=text size=35 maxlength=150 name="eduMajor1" value=""></td> <td nowrap> Attended from: <input type=text size=13 maxlength=150 name="eduStart1" value=""> to: <input type=text size=13 maxlength=150 name="eduEnd1" value=""> </td> </tr><tr> <td nowrap> Degree awarded: <input type=text size=35 maxlength=150 name="eduDegree1" value=""></td> <td nowrap> Number of years credit if no degree: <input type=text size=13 maxlength=150 name="eduYears1" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap><b>Institution:</b> <input type=text size=40 maxlength=150 name="eduInstitution2" value=""></td> <td nowrap>Place: <input type=text size=40 maxlength=150 name="eduPlace2" value=""></td> </tr><tr> <td nowrap>Major or Subject: <input type=text size=35 maxlength=150 name="eduMajor2" value=""></td> <td nowrap>Attended from: <input type=text size=13 maxlength=150 name="eduStart2" value=""> to: <input type=text size=13 maxlength=150 name="eduEnd2" value=""></td> </tr><tr> <td nowrap>Degree awarded: <input type=text size=35 maxlength=150 name="eduDegree2" value=""></td> <td nowrap>Number of years credit if no degree: <input type=text size=13 maxlength=150 name="eduYears2" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap colspan="2"><b>Other Degrees/Institutions:</b> (Give approx. hours of study involved)<br> <textarea name="eduOtherDegrees" cols="80" rows="5" wrap="virtual"></textarea></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap colspan="2"><b>Seminars, short courses related to audio:</b> (Give approx. hours of study involved)<br> <textarea name="eduSeminars" cols="80" rows="5" wrap="virtual"></textarea></td> </tr> </table> </font> <hr noshade> <font face="comic sans ms,arial,helvetica" size=+1><b>3</b></font> <font face="arial, helvetica"><b>OTHER ACCOMPLISHMENTS: <font size=-1>(list any papers, patents, etc. with appropriate dates)</font></b> <table cellpadding=1 cellspacing=1 border=0> <tr> <td nowrap><textarea name="otherAccomplishments" cols="80" rows="5" wrap="virtual"></textarea></td> </tr><tr> <td nowrap>Member of other societies: <input type=text size=70 maxlength=150 name="otherSocieties" value=""></td> </tr><tr> <td nowrap>Linguistic Abilities: <input type=text size=78 maxlength=150 name="otherLanguages" value=""></td> </tr> </table> </font> <hr noshade> <font face="comic sans ms,arial,helvetica" size=+1><b>4</b></font> <font face="arial, helvetica"><b>EMPLOYMENT HISTORY:</b> <table cellpadding=1 cellspacing=1 border=0> <tr> <td nowrap><b>Current Employment</b><br> Start Date: <input type=text size=15 maxlength=150 name="pastStart1" value=""> Position: <input type=text size=31 maxlength=150 name="pastPosition1" value=""></td> </tr><tr> <td nowrap> Company name & location: <input type=text size=70 maxlength=150 name="pastCompany1" value=""></td> </tr><tr> <td nowrap> Duties performed: <input type=text size=79 maxlength=150 name="pastDuties1" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap><b>Previous Employment</b><br> Start Date: <input type=text size=15 maxlength=150 name="pastStart2" value=""> End Date: <input type=text size=15 maxlength=150 name="pastEnd2" value=""> Position: <input type=text size=31 maxlength=150 name="pastPosition2" value=""></td> </tr><tr> <td nowrap>Company name & location: <input type=text size=70 maxlength=150 name="pastCompany2" value=""></td> </tr><tr> <td nowrap>Duties performed: <input type=text size=79 maxlength=150 name="pastDuties2" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap><b>Previous Employment</b><br> Start Date: <input type=text size=15 maxlength=150 name="pastStart3" value=""> End Date: <input type=text size=15 maxlength=150 name="pastEnd3" value=""> Position: <input type=text size=31 maxlength=150 name="pastPosition3" value=""></td> </tr><tr> <td nowrap>Company name & location: <input type=text size=70 maxlength=150 name="pastCompany3" value=""></td> </tr><tr> <td nowrap>Duties performed: <input type=text size=79 maxlength=150 name="pastDuties3" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap>Other past experience (Include dates, company, position and duties)<br> <textarea name="pastExperienceOther" cols="80" rows="5" wrap="virtual"></textarea></td> </tr> </table> </font> <hr noshade> <font face="comic sans ms,arial,helvetica" size=+1><b>5</b></font> <font face="arial, helvetica"><b>REFERENCES: <font size="-1">(3 references, in total, required to become a Member)<br> Your references should be individuals (they need not be AES members) who can personally attest<br> to your qualifications and interests and you should tell them that you are using their names.<br></font></b> <br> <table cellpadding=1 cellspacing=1 border=0> <tr> <td nowrap> Name: <input type=text size=35 maxlength=150 name="refName1" value=""> Title or Position: <input type=text size=35 maxlength=150 name="refTitle1" value=""></td> </tr><tr> <td nowrap> Company name: <input type=text size=80 maxlength=150 name="refCompany1" value=""></td> </tr><tr> <td nowrap> AES Member Number, or if not AES member, then Email address or Phone number: <br><input type=text size=90 maxlength=150 name="refMemNum1" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap> Name: <input type=text size=35 maxlength=150 name="refName2" value=""> Title or Position: <input type=text size=35 maxlength=150 name="refTitle2" value=""></td> </tr><tr> <td nowrap> Company name: <input type=text size=80 maxlength=150 name="refCompany2" value=""></td> </tr><tr> <td nowrap> AES Member Number, or if not AES member, then Email address or Phone number: <br><input type=text size=90 maxlength=150 name="refMemNum2" value=""></td> </tr><tr> <td colspan="2"> </td> </tr><tr> <td nowrap> Name: <input type=text size=35 maxlength=150 name="refName3" value=""> Title or Position: <input type=text size=35 maxlength=150 name="refTitle3" value=""></td> </tr><tr> <td nowrap> Company name: <input type=text size=80 maxlength=150 name="refCompany3" value=""></td> </tr><tr> <td nowrap> AES Member Number, or if not AES member, then Email address or Phone number: <br><input type=text size=90 maxlength=150 name="refMemNum3" value=""></td> </tr><tr> <td nowrap> Add 1 + 3: <br><input type=text size=15 maxlength=150 name="checkAnswer" value=""></td> </tr> </table> </font> <hr noshade> <p><input 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