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PSSAO Application For Membership (Print this page and mail to address at the bottom) Full Member: Eligibility consists of a BS Degree in Soil Science or other degree program that has 15 semester (23 quarter) hour credits in Soil Science. Associate Member: Students and others interested in the aims and goals of the Association. Circle which membership you are applying for: FULL or ASSOCIATE SECTION I Name: ___________________________________________ Home Address: ___________________________________________ City, State, Zip: ___________________________________________ Home Phone: ___________________________________________ Employer: ___________________________________________ Occupation/Title: __________________________________________ Business Address: ___________________________________________ City, State, Zip: ___________________________________________ Business Phone: ___________________________________________ SECTION II (completion of this section is not required for associate membership) College Attended: ____________________________ Degree and Date: ______________________ Complete either A or B: A. I am an ARCPACS certified professional or associate professional soil scientist, soil specialist, or soil classifier. Registration number: ____________ B. I have completed the 15 or more semester credit hours in the soils courses listed below: ________________________________________ __________________________________________ ________________________________________ __________________________________________ ________________________________________ __________________________________________ I hereby apply for full/associate membership in the Professional Soil Scientists Association of Oklahoma and certify that the above information is to the best of my knowledge, accurate and correct. Signature: ___________________________________________________ Date: ____________________ Annual dues are $25 for full membership and $10 for associate membership. Please enclose a check with this application payable to PSSAO. Mail to: PSSAO P.O. Box Stillwater, OK 74076 |