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Sponsor Organization Pre-Application
Contact Name
*
First
Last
Organization
*
Address:
Street Address
City
State
Zip Code
Phone
*
Fax
Email
*
Type of Organization:
*
Trade Association
Professional/Technical Association
Engineering Employer
Training Organization
Academic Institution
Sales Vender Rep
Number of Professional Engineers in organization (Approx):
Number of authorized continuing education evaluators on staff / pending approval:
Describe the organization's relationship to the engineering profession:
Number of years applicant organization has been conducting continuing education/training:
Total number of continuing education/training events conducted during the past fiscal, calendar, or academic year by the applicant (organization, unit, or program):
Year
# Activities
# Participants
Does any organization currently accredit or approve your continuing education or training programs?
Yes
No
Has any organization ever denied or removed accreditation, certification, or approval of your continuing education programs?
Yes
No
Has a person from your organization attended PIE CE Sponsor Workshop?
Yes
No
Attendee Name
*
First
Last
Date attended
MM slash DD slash YYYY
Payment
Application Fee:
$25
Checks are payable to:
The Practicing Institute of Engineering, Inc.
This pre-application, with application fee, initiates a process to determine if an organization may qualify for Sponsor Member status. An initial review will confirm whether a full sponsor application should be prepared. An Annual Sponsor fee of $300 will be due with the submittal of the full Sponsor Application. Once a formal organization and procedure review has commenced, the fee will no longer be refundable regardless of the outcome of the review
Signature
Application Date
MM slash DD slash YYYY
Typed or Printed Name
*
We will post your contact information on the PIE website unless you opt out.
Opt Out
Initials
*
Application Fee
*
Price:
Total
$0.00
Click "Submit" to pay with PayPal.
Method of Payment:
*
Mail Check
Online Credit Card
Cardholder Name
*
First
Last
Cardholder Address:
Street Address
*
City
*
State
*
Enter 2-Letter State Abbreviation (i.e. NY, NJ, MA...)
Zip Code
*
Enter Email Address Here to receive your receipt.
*
Credit Card
*
Card Details
Cardholder Name
Make Check Payable to:
The Practicing Institute of Engineering, Inc.
Mail to:
6 Airline Drive,
Albany, NY 12205
Email
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Practicing Institute of Engineering, Inc.
6 Airline Drive, Suite 114, Albany, NY 12205
tel. (518) 283-7493
email piemail@nysspe.org
