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Apply for Membership

PROFILE FOR: ACEC Membership

General Instructions

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Instagram

This field is for validation purposes and should be left unchanged.

This application is ONLY for those applying for membership in ACEC Completion of the application will take less than one hour assuming you have all of the required reference material listed below.

MATERIAL NEEDED:
Bio
Headshot/ jpeg, png
List of volunteerism
certificates/ dates/ expiration
List of publications (i.e., books, articles, blogs, podcasts, videos)
Two referrals for membership in ACEC/ contact information

IN ADDITION:
We will furnish upon request our Code of Ethics, Anti-Discrimination Policy, Code of Conduct and Bylaws.

TECHNICAL SUPPORT: For technical support please contact Carla Hansson at reachme@carlahansson.com

Your Personal Information

:Your Contact Information

First Name Last Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

Mobile Phone

Your Email

Please enter your "What's App" phone number

If you reside outside of the United States

How did you hear about ACEC?

Select all that apply

ACEC Member

My Company

Colleague/Coworker

Email Newsletter

Facebook

Other Social Network

Blog or Article

Please enter their name so we can thank them!

Your Business Information

Upload Your Resume (optional)

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Upload Your Bio

Attach your professional bio. Accepted file extensions docx, doc

Accepted file types: doc, docx, pdf, pages, Max. file size: 2 GB.

Upload Your Photo (head shot)

• jpeg/png
• Must use full color
• Size 200x200 Maximum

Accepted file types: jpg, png, jpeg, Max. file size: 2 GB.

Company Name

Business Title (optional)

Business Contact Information

First Name Last Name

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

General Information

COACHING:

Preferred coaching methodology(ies).

COACHING EXPERIENCE LEVEL

CEO

FOUNDER

PRESIDENT

DIRECTOR

Other(describe below)

MARKETING:

What sales/marketing do you actively participate in to promote your business? Identify three types currently being used?

Your Social Media Profile

Leave blank if you do not have one of the following.

LinkedIn URL

Twitter URL

Facebook URL/Name

YouTube Channel

Professional Organizations

What other professional associations do you belong to?

Click on ⊕ to add another row

Organization(s) Name

Years a Member

Referrals

Below provide the names of two references who are members of ACEC

REFERENCE #1 Who referred you to ACEC?

First Name Last Name

Phone

Business Relationship

REFERENCE #2 Who referred you to ACEC?

Fist Name Last

Phone

Business Relationship

Certificate/ Certifications

INSTRUCTIONS:
Identify one internationally approved and widely used certificate/certification that you have been approved to use. Include the following:

Name of program/ tool
Date

Certificate/ Certifications

(you may upload a file next)

Upload Your File

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Your Education/ Schools

INSTRUCTIONS:
For each institution include the following:
1. School name and location
2. Major
3. Minor
4. For post graduate school include your dissertation topic

Undergraduate (Baccalaureate)

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Graduate School ( i.e.) Masters, A.M. or S.M.

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Post Graduate

(Ph.D) (INCLUDE YOUR DISSERTATION TOPIC)
Click on ⊕ to add another row

School

Location

Dissertation

ACEC Membership

$395

Price:

One-time Application Fee

Price:

Total

Please sign here

Your Signature represents the following:
1. I agree that the information submitted with this application is provided freely and carries no obligation.
2. You guarantee that the information submitted is true.
3. You agree to the rules and regulations for the use of your certification as detailed in MEECO Institute's Code of Conduct; ethics and bylaws, disclaimer and its code of ethics listed on the ACEC (https://www.acec-association.org) and the MEECO Institute website (https://www.meeco-institute.org).
4. We may validate the information you have submitted.

Payment details

By clicking submit, I agree to the processing of personal data and with the privacy policy and terms and conditions.

Step 1 of 8

12%

URL

This field is for validation purposes and should be left unchanged.

IN ADDITION:
We will furnish upon request our Code of Ethics, Anti-Discrimination Policy, Code of Conduct and Bylaws.

TECHNICAL SUPPORT: For technical support please contact Carla Hansson at reachme@carlahansson.com

Your Personal Information

:Your Contact Information

First Name Last Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

Mobile Phone

Your Email

Please enter your "What's App" phone number

If you reside outside of the United States

How did you hear about ACEC?

Select all that apply

ACEC Member

My Company

Colleague/Coworker

Email Newsletter

Facebook

Other Social Network

Blog or Article

Please enter their name so we can thank them!

Your Business Information

Upload Your Resume (optional)

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Upload Your Bio

Attach your professional bio. Accepted file extensions docx, doc

Accepted file types: doc, docx, pdf, pages, Max. file size: 2 GB.

Upload Your Photo (head shot)

• jpeg/png
• Must use full color
• Size 200x200 Maximum

Accepted file types: jpg, png, jpeg, Max. file size: 2 GB.

Company Name

Business Title (optional)

Business Contact Information

First Name Last Name

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

General Information

COACHING:

Preferred coaching methodology(ies).

COACHING EXPERIENCE LEVEL

CEO

FOUNDER

PRESIDENT

DIRECTOR

Other(describe below)

MARKETING:

What sales/marketing do you actively participate in to promote your business? Identify three types currently being used?

Your Social Media Profile

Leave blank if you do not have one of the following.

LinkedIn URL

Twitter URL

Facebook URL/Name

YouTube Channel

Professional Organizations

What other professional associations do you belong to?

Click on ⊕ to add another row

Organization(s) Name

Years a Member

Referrals

Below provide the names of two references who are members of ACEC

REFERENCE #1 Who referred you to ACEC?

First Name Last Name

Phone

Business Relationship

REFERENCE #2 Who referred you to ACEC?

Fist Name Last

Phone

Business Relationship

Certificate/ Certifications

INSTRUCTIONS:
Identify one internationally approved and widely used certificate/certification that you have been approved to use. Include the following:

Name of program/ tool
Date

Certificate/ Certifications

(you may upload a file next)

Upload Your File

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Your Education/ Schools

INSTRUCTIONS:
For each institution include the following:
1. School name and location
2. Major
3. Minor
4. For post graduate school include your dissertation topic

Undergraduate (Baccalaureate)

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Graduate School ( i.e.) Masters, A.M. or S.M.

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Post Graduate

(Ph.D) (INCLUDE YOUR DISSERTATION TOPIC)
Click on ⊕ to add another row

School

Location

Dissertation

ACEC Membership

$395

Price:

One-time Application Fee

Price:

Total

Please sign here

Payment details

By clicking submit, I agree to the processing of personal data and with the privacy policy and terms and conditions.

PROFILE FOR: ACEC Membership

General Instructions

Step 1 of 8

12%

This field is for validation purposes and should be left unchanged.

IN ADDITION:
We will furnish upon request our Code of Ethics, Anti-Discrimination Policy, Code of Conduct and Bylaws.

TECHNICAL SUPPORT: For technical support please contact Carla Hansson at reachme@carlahansson.com

Your Personal Information

:Your Contact Information

First Name Last Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

Mobile Phone

Your Email

Please enter your "What's App" phone number

If you reside outside of the United States

How did you hear about ACEC?

Select all that apply

ACEC Member

My Company

Colleague/Coworker

Email Newsletter

Facebook

Other Social Network

Blog or Article

Please enter their name so we can thank them!

Your Business Information

Upload Your Resume (optional)

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Upload Your Bio

Attach your professional bio. Accepted file extensions docx, doc

Accepted file types: doc, docx, pdf, pages, Max. file size: 2 GB.

Upload Your Photo (head shot)

• jpeg/png
• Must use full color
• Size 200x200 Maximum

Accepted file types: jpg, png, jpeg, Max. file size: 2 GB.

Company Name

Business Title (optional)

Business Contact Information

First Name Last Name

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone/Ext.

General Information

COACHING:

Preferred coaching methodology(ies).

COACHING EXPERIENCE LEVEL

CEO

FOUNDER

PRESIDENT

DIRECTOR

Other(describe below)

MARKETING:

What sales/marketing do you actively participate in to promote your business? Identify three types currently being used?

Your Social Media Profile

Leave blank if you do not have one of the following.

LinkedIn URL

Twitter URL

Facebook URL/Name

YouTube Channel

Professional Organizations

What other professional associations do you belong to?

Click on ⊕ to add another row

Organization(s) Name

Years a Member

Referrals

Below provide the names of two references who are members of ACEC

REFERENCE #1 Who referred you to ACEC?

First Name Last Name

Phone

Business Relationship

REFERENCE #2 Who referred you to ACEC?

Fist Name Last

Phone

Business Relationship

Certificate/ Certifications

INSTRUCTIONS:
Identify one internationally approved and widely used certificate/certification that you have been approved to use. Include the following:

Name of program/ tool
Date

Certificate/ Certifications

(you may upload a file next)

Upload Your File

Drop files here or

Accepted file types: pdf, doc, docx, pages, Max. file size: 2 GB.

Your Education/ Schools

INSTRUCTIONS:
For each institution include the following:
1. School name and location
2. Major
3. Minor
4. For post graduate school include your dissertation topic

Undergraduate (Baccalaureate)

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Graduate School ( i.e.) Masters, A.M. or S.M.

Click on ⊕ to add another row

School

Location

Click on ⊕ to add another row

Major

Minor

Post Graduate

(Ph.D) (INCLUDE YOUR DISSERTATION TOPIC)
Click on ⊕ to add another row

School

Location

Dissertation

ACEC Membership

$395

Price:

One-time Application Fee

Price:

Total

Please sign here

Payment details

By clicking submit, I agree to the processing of personal data and with the privacy policy and terms and conditions.