GCSAA - Student membership application

1. Please fill out the form completely and legibly.
2. After reading the code of ethics, sign and date the application where indicated.
3. Enclose check for a full year's dues or indicate credit card number.
4. Please allow up to 4 weeks for processing.

Important: No application will be considered without dues enclosed or valid credit card information.

Select membership option:

Student Member - $65 -- To qualify for Student membership, an applicant must be pursuing a career in the golf course management industry. Student members shall have such privileges of the Association as the Board of Directors may specify by Standing Rules, except those of voting and holding office.

Student Web-Only Member - $30 -- Applicant must meet and adhere to all requirements for Student membership. Web-Only Student members will be entitled to all benefits that can be accessed through the GCSAA Web site in addition to member discounts on educational programs and materials.

Applicant information:

Preferred mailing address:

Home (permanent mailing address, such as parents' home)

School (address held while attending school)

Ms. Mr.

Name:

Home address:

City:

State:

Country:

U.S. Citizen?:

Yes No

ZIP code:

Phone number:

School name:

City:

State:

ZIP code:

Student's school address:

City:

State:

ZIP code:

Email address:

Phone number:

Fax number:

Degree currently seeking (please check one):

Bachelor's Degree Turf/or Plant Science
Other Bachelor's Degree, plus Associate's Degree in Turf/or Plant Science or 2-year Turf Certificate from 4-year institution (e.g., Michigan State, Penn State)
Other Bachelor's Degree
Associate's Turf/or Plant Science Degree or 2-Year Turf Certificate from a 4-year institution (e.g. Michigan State, Penn State)
Turf Certificate/Short Courses (400 hr. minimum)
Other Associate's Degree
No Degree or recognized Certificate

Graduation date
(Mo./day/yr.):

(required)

Birthdate:

Student signature:

I hereby submit my application for membership in the Golf Course Superintendents Association of America and attach my dues for one year in advance. It is estimated that 8% of my membership dues will be used for advocating positions on government issues, as well as payment of dues term life insurance for all members, excluding non-US citizens, student, affiliate company, and technical assistance network, and that a portion is therefore not tax deductible as a business expense. I have read and agree to abide by the GCSAA Code of Ethics.

Signature:
___________________________________________________

For GCSAA Office Use Only:

___________________________
Membership Chairman Signature

Date:
___________________________________________________

Method of payment:

Credit card type:

VISA MasterCard American Express

Card no.:

Exp. date:

Check or money order (U.S. dollars drawn on U.S. bank) to:
GCSAA, P.O. Box 219004, Kansas City, MO 64121-9004
Fax to membership: 785-832-3643

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The Golf Course Superintendents Association of America is dedicated to serving its members, advancing their profession, and enhancing the enjoyment, growth and vitality of the game of golf. Golf Course Superintendents Association of America 1421 Research Park Drive Lawrence, KS 66049-3859 Tel. 800-472-7878 or 785-841-2240

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