8/3/2019 Enrolled Student Member Application

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ASQ Student membership gives you the tools and resources you need to prepare or your uture ater graduation. Meet a mentorin your prospective industry, fnd a job and get proessional development tools, and increase your quality knowledge. Our Studentmembership allows access to many o the benefts o Full membership at a signifcantly reduced rate or ull-time students at anaccredited university or college.

Reresher courses, seminars, trainings, and certifcations encourage continuous learning and growth, which allowone to perorm job unctions better by applying sound quality principles. -Jay Mehta, ASQ Student member

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ProFeSSional DeveloPmentEnhance your quality learning to prepare yoursel or uture employment and receive a widevariety o proessional development tools at discounted prices.

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KnowleDgeLearn classic and current quality principles and theories to help you understand howquality can help in your uture career.

Quality Body of Knowledge (QBOK) aSQ wkand Other E-newslettersQu Pss (electronic access) ASQ Publications, Journals, and Standards Quality News Today

networKingYou have the opportunity to meet, communicate, and collaborate with other students andquality experts to build your personal network and share knowledge and advice.

ConferencesASQ Student Branches and Sections Social Media Online Communities

asq student member benefits

Fill out the Studentmember applicationon the reverse sideto become an ASQStudent member

and raise the voiceo quality.

8/3/2019 Enrolled Student Member Application

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Enrolled Student Dues $ _______

Your geographic Section included with your membership will be deterby your primary address. If you wish to choose a specific Section, plevisit www.asq.org/sections for a listing of Sections.

Additional Sections (geographic or the e-Section) may be added for an ational $20.00 each.

Additional Sections , $ _______

Forums and Divisions are topic- or industry-speciic groups led by ASmembers who are united by a common interest. Forums and Divisionbe added to your membership or $10.00 each.

Forums and Divisions , , , $ ________

total oF all itemS (1-3). $

inFormation

Preerred Mailing Address: Present Permanent

Mr. Ms. Mrs. Male Female Birth Date

First Name Middle Initial Last Name

Present Address Ste.

City, State/Province Zip+4/Postal Code Country

Permanent Address Apt./Ste.

City, State/Province Zip+4/Postal Code Country

Area Code/Present Telephone Area Code/Permanent Telephone

Preerred email address Fax

College or University You Attend

Field o Study Degree Sought (e.g., Bachelors)

Estimated Graduation Date

c h i cu d s u- sud.

Enrolled Student Signature

New memberships are eective upon receipt o payment. New members receive

one year o membership rom the date they join. Members are billed prior to the

anniversary date o their membership or next years dues. Memberships, even

those paid by employers, are nontranserable.

oFFiCe USe only

Priority CoDe _______________________

Order Number ________________________

Member Number ______________________

enrolleD StUDent memBerSHiP aPPliCation

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MM YY

Chck d (U.S. ds d U.S. bk)

Make check payable to ASQ.

msCd vs ac expss (Check one)

Cardholders Name (please print)

Card Number Exp. Date

Cardholders Signature

Cardholders Address

Payment inFormation

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Member Name ASQ Member Number

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Occasionally ASQ shares its mailing list with carefully selected quality-relatedorganizations to provide you with information on products and services. Please check thisbox if you do notwish to receive these mailings.

Please submit your application with remittance to:

aSQP.o. Bx 3066muk, wi 53201-3066 USaor fax to 414-272-1734.

You may also join online at.sqor by calling ASQ Customer Care aUSA and Canada:800-248-1946

Mexico: 001-800-514-1564All other locations: +1-414-272-857

To help us understand whats important to you, please tell us the top three reasonswhy you became an ASQ member.

wHy DiD yoU Join?

Career Development Certifcation Pricing In-person Networking

Involvement in ASQs Cause

Involvement in SRO

Knowledge/Inormation

Leadership Opportunities

Online Networking/Communities

Product Discounts

Training

V

Audit (19)

Automotive (3)

Aviation, Space and Deense (2)

Biomedical (10)

Chemical and Process Industries (4)

Customer-Supplier (15)

Design and Construction (20)

Education (21)

Electronics and Communications (5)

Energy and Environmental (11)

Food, Drug, and Cosmetic (7)

Government (22)

Healthcare (18)

Human Development andLeadership (13)

Inspection (9)

Lean Enterprise (23)

Measurement Quality (17)

Product Saety and LiabilitPrevention (25)

Quality Management (1)

Reliability (8)

Service Quality (16)

Six Sigma (26)

Sotware (14)

Statistics (12)

Team & WorkplaceExcellence (27)