HAITIAN-AMERICAN ASSOCIATION OF ENGINEERS AND SCIENTISTS

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Thank you for your interest in HAES. Registration on this web side requires becoming a HAES member. To become a member, you can download our printable Membership Application (requires Adobe Acrobat), fill it out and mail it to us, along the appropriate payment.

Alternatively, you can fill the on-line form below. Please make sure you give us your email address, so we can contact you electronically.

If you already are a HAES member, but cannot log onto the site, please contact us.

HAES MEMBERSHIP APPLICATION

PERSONAL INFORMATION

First Name:

M.I:

Last Name:

Profession:

DOB:

(MM-DD-YYYY)

Address:

Apt:

City:

State:

Zip Code:

Country:

Telephone:

Email:

BUSINESS INFORMATION

Company Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Country:

Telephone:

Position/Dept:

Years there:

ACADEMIC INFORMATION

Institution	Major	Years	Degree

PROFESSIONAL REFERENCE

First Name:

M.I:

Last Name:

Profession:

Address:

Apt:

City:

State:

Zip Code:

Country:

Telephone:

Email:

MEMBERSHIP SELECTION

Please select the membership desired:
General membership Applicable to Engineers, Scientists, Architects, Agronomists and Technicians).
Student Membership (High school students and undergraduate college students).
Honorary Membership.

The Haitian-American Association of Engineers and Scientists is a non-profit Corporation registered in the state of Florida. All funds are used to finance the implementation and administration of organizational programs. By clicking the "Join HAES" button below, you are agreeing to become a member of HAES, the Haitian-American Association of Engineers and scientists, and in so doing agreeing to abide by the bylaws and code of ethics governing this organization. You will be invoiced for the appropriate amount as your application is being processed.

Please ensure all the fields are correct before proceeding. Due to privacy concerns, the information you entered may not be preserved if you press the button below, and then press the "back" key.