Name: Barn Gang
Start: 2024-04-30T11:00:00-04:00
End: 2024-04-30T13:00:00-04:00
Location: The Engineers Club of Dayton

Membership Application
Join the Engineers Club of Dayton

Engineers Club Lobby The Engineers’ Club of Dayton (ECD) has been an integral part of the city’s landscape for over 100 years and membership has been held by an impressive list. Founders Colonel Edward A. Deeds and Charles F. Kettering realized that Dayton was an important hub for industry and technology as far back as 1914. Our Club was created to foster innovation through the sharing of ideas, guest speakers and more — a tradition that is carried through even today!

We always are looking to add new members to our organization, not only area engineers, but those with skills and technological backgrounds that make sense, including:

Business Owners	Engineers	Healthcare Professionals	Entrepreneurs
Financial Planners	CEO’s	Attorneys	Accountants
Patent Holders	Military Officers	Active Military	University Faculty
Realtors	Property Managers	Engineering Students	WPAFB Employees
Young Professionals

If you are interested in membership to our esteemed Club, please take the time to fill out the application below and an associate will contact you shortly afterwards. Thank you again for your interest in the Engineers Club of Dayton, and please know that your personal information will remain confidential and secure throughout the entire process.

For more information about the Engineers Club of Dayton, please contact us by e-mail or phone, using the links below:

Send us an e-mail | Call (937) 228-2148

Membership Application

Personal & Confidential Information

This information is required for statistical records.

Applicant Name *

First

Last

Today's Date

Birth Date

Place of Birth

Phone *

Fax

E-mail *

Residence *

Address Line 1

Address Line 2

City

State

Zip Code

Send Statements (e-mail) to:

Send e-mails/newsletters to:

Sponsor Name (if applicable):

Spouse Information

Spouse Name *

First

Last

Spouse e-mail *

Date of Birth

Place of Birth

Send e-mails/newsletters to:

Type of Membership Desired

Individual Memberships

Corporate Memberships

Business Information

Employer/Company Name

Current Position/Title

Company Info

Address Line 1

Address Line 2

City

State

Zip Code

Company E-mail

Company Phone

Standing Committees

The Board of Governors has authorized these standing committees. Please a committee that interests you.

Committee of Interest *

Other (please list your interest not shown above):

Applicant Resume

Business Experience:

From/To Years, Title, Employer, Type of Work, etc.

Professional Societies & Organizations:

Member Grade, # Years as Member, Offices Held

Education:

Institutions/Degree/Year; Primary Field of Study/Training

Specialty:

Technical / Business / Humanities (# Patents/Papers/Books; Award and Honors Received)

Management:

# Employees Supervised; Financial/Budget Resources; Fields of Expertise

Military Service:

Branch of Service / Years of Active Service / Years of Reserve Service / Military Specialties / Medals or Awards / Overseas Theaters

I agree to accept membership and abide by the By-Laws and Rules of the Engineers Club of Dayton. I understand that I am financially responsible for any charges incurred on my account. Dues are nonrefundable and automatically renew each year without formal resignation. Monthly use amounts, (excluding service charge and tax), will be accumulated and unused balance invoiced at 6 month end. I further understand that a letter of resignation must be submitted to the Executive Director at least 90 days prior to my renewal date in order to resign my membership. *

Custom Captcha *

Signature *

Clear Signature

Comment

Personal & Confidential Information

Spouse Information

Type of Membership Desired

Business Information

Standing Committees

Applicant Resume

1 event, 31

1 event, 31

Easter Brunch

Easter Brunch

0 events, 1

0 events, 1

2 events, 2

2 events, 2

0 events, 3

0 events, 3

0 events, 4

0 events, 4

0 events, 5

0 events, 5

0 events, 6

0 events, 6

0 events, 7

0 events, 7

0 events, 8

0 events, 8

1 event, 9

1 event, 9

0 events, 10

0 events, 10

0 events, 11

0 events, 11

0 events, 12

0 events, 12

0 events, 13

0 events, 13

0 events, 14

0 events, 14

0 events, 15

0 events, 15

2 events, 16

2 events, 16

0 events, 17

0 events, 17

2 events, 18

2 events, 18

0 events, 19

0 events, 19

0 events, 20

0 events, 20

0 events, 21

0 events, 21

0 events, 22

0 events, 22

1 event, 23

1 event, 23

0 events, 24

0 events, 24

0 events, 25

0 events, 25

0 events, 26

0 events, 26

0 events, 27

0 events, 27

0 events, 28

0 events, 28

0 events, 29

0 events, 29

1 event, 30

1 event, 30

0 events, 1

0 events, 1

0 events, 2

0 events, 2

0 events, 3

0 events, 3

0 events, 4

0 events, 4