Affiliates Council Application

The following information must be completed in full and submitted to NAEM in order to be considered for Affiliates Council membership. All applications will be reviewed and approved on a first-complete, first-serve basis. For any questions, please e-mail [briana at naem dot org].

Section 1 of 5

   
   
Contact Information
   
   
   
   
Would you like to receive NAEM email communications about upcoming conferences, research and more? You will only be added to our email list if you opt in.
   
   
Previous

Section 2 of 5

Client References
Affiliate applicants must provide references from two current NAEM members. For questions about this requirement, please call NAEM at (202) 986-6616.
Reference #1
   
   
   
   
   
   

Reference #2

   
   
   
   
   
   
Previous

Section 3 of 5

Prior Attendance
Attendance at 2 previous NAEM events is a requirement for membership. Please list the 2 most recent NAEM events that your company has attended.
   
   
   
   
Previous

Section 4 of 5

Additional Information
   
   
Please select the category or categories that you believe your company most fits into.*
   
Please select the annual revenue category that describes your company.*
   
Previous

Section 5 of 5

By electronically signing this application form, you certify that all information provided is accurate and complete to the best of your knowledge.

   
Please ensure that your application is complete before clicking "Submit."
   
Previous
Don't Lose Your Work!

If you close the browser window or navigate to a different web page prior to submission, your data will not be saved. If you prefer to complete the form in multiple sessions, we encourage you to save your work in an offline document or to use our PDF form.

Email Sign Up