APICS Student Membership Application

Five easy ways to join!

ONLINE: Visit apics.org/membership/join/student.
E-MAIL: Fill out this application, scan and send to [email protected].
FAX: Send both sides of completed application to + 1 (773) 639-3011 with your credit card payment information.
MAIL: Return completed application with your payment to APICS, PO. Box 4050, Carol Stream, IL 60197-4050.
PHONE: Call APICS Customer Support at (800) 444-2742 or +1 (773) 867-1777, M-F 8:00 a.m.5:00 p.m. CT. Have your credit card ready.
APICS Student Membership Benefits:
Exclusive access to content on the APICS Web site and publications such as electronic APICS magazine online, electronic APICS Dictionary,
electronic APICS OMBOK, newsletters and more.
Members-only savings on APICS educational events, certification review courses, testing fees and other training aids.
Local affiliation with an APICS Student Chapter.
Campaign Code: 10STUDENTWEB
APICS Student Membership Requirements: Membership is only available to those enrolled as a full-time student (according to your educational institution's
policy) at an accredited college or university.
STEP 1: Member Information (Please print or type)
PREVIOUS APICS CUSTOMER/MEMBER ID NUMBER (IF KNOWN)
Please print your legal name and address as they should appear on a mailing label.
Mr. Mrs. Ms. Miss CPIM CSCP
FIRST NAME MIDDLE INITIAL LAST NAME
Please check your preferred mailing address. School Housing Home
School Housing (Temporary)
NAME OF SCHOOL (REQUIRED)
ADDRESS CITY
STATE ZIP + 4/POSTAL CODE COUNTRY
BUSINESS PHONE BUSINESS FAX
SCHOOL PHONE E-MAIL
EXPECTED GRADUATION DATE: MONTH YEAR
Home (Permanent)
ADDRESS CITY
STATE ZIP + 4/POSTAL CODE COUNTRY
HOME PHONE E-MAIL
The following information is requested for identification purposes only. Female Male Date of Birth
(MM/DD/YY)
Who may we thank for referring your APICS membership?
REFERRING MEMBER'S NAME REFERRING MEMBER'S E-MAIL REFERRING MEMBER'S PHONE REFERRING MEMBER'S APICS ID NUMBER
Commercial Third-Party Mailing List Exclusion Policy
On occasion, APICS may provide limited contact information to third parties that offer programs, products, and services that our members may nd
of interest. The contact information includes name, job title, company, and preferred address, but does not include phone, fax, or e-mail address.
Exclude me from commercial third-party mailing lists.
Please continue application on the back side.
Stock 82003-1, 2/10
Campaign Code: 10STUDENTWEB
STEP 3: Member Profile
What is your current academic concentration?
(Check all that apply.)
a. Accounting/Finance d. Production/Operations Management g. Marketing
b. Business Administration e. Management h. Integrated Supply
c. Engineering f. Materials Management Management i. Information Systems
What is your current degree objective?
(Check one only.)
a. AA c. MA/MS e. Doctorate
b. BA/BS d. MBA f. Other
Why are you joining APICS?
(Check all that apply.)
a. Networking d. Recommended by professor/ g. APICS publications/magazine
b. Career enhancement/ fellow student h. Other
professional development e. Certification
c. Education f. Leadership opportunities
Membership Involvement
(Check all that apply.)
Please indicate the chapter activity in which you would like to participate.
a. Education d. Membership g. Trea sur er
b. Publicity e. Em ploy ment h. Sec re tary
c. Programs f. Sem i nars i. News let ter
STEP 2: Membership Dues
STudEnT CHAPTEr AffILIATIon
APICS supports operations management education by sponsoring affiliate student chapters on nearly 200 university and college campuses across North America. If your university
or college is not listed on the chapter locator page of the application, you may join as a student member at large.
Please place me in the Chapter. (See Chapter Locator on the following page.)
AnnuAL duES
Application will be processed upon full payment. Your dues are for one year of membership.
Association dues $ 25.00
PAyMEnT (U.S. dollars only. Purchase orders are not accepted.)
Money Order Check Check # Check amount
(Checks must be made payable to APICS and drawn on a U.S. bank.)
Charge to: MC VISA AmEx Discover
ACCOUNT NUMBER EXPIRATION DATE
NAME AS IT APPEARS ON CARD SIGNATURE

Student members enjoy the benefits of APICS member-
ship (with the exception of voting privileges). Student
member is a conditional membership category for
individuals currently registered as a full-time student
(according to your educational instution's policy) at an
accredited college or university.
Individuals renewing or applying for student membership
must submit a current course curriculum/schedule by
including it with your application or have your professor
verify your student status.
Schedules must be provided by the registrar with name
of institution, name of student, and date including the
year.
In order for a professor to verify your status, they must
provide the following information:
Signature:
Printed name:
Contact phone number:
Date:
In addition to your verfication of student status (course
curriculum/schedule or professor's signature) the follow-
ing information must be provided:
University/College Name
(please no abbreviations):
Expected Date of Graduation:
APICS CHAPTEr LoCATor
APICS has a network of nearly 200 chapters across North America. Chapter names are listed below. To join the chapter nearest you,
indicate your selection on page 2 of this application. If you are not certain about which chapter to join, please contact
APICS Customer Support at (800) 444-2742 or (773) 867-1777 or e-mail [email protected].
(Chapters and chapter locations are subject to change without notice.)
Student Chapters
Alabama
Alabama A&M (S114)
Athens State College (S229)
Auburn Univ. (S001)
University of Alabama (S324)
Arkansas
Arkansas State Univ. (S074)
Henderson State Univ. (S306)
Arizona
Arizona State Univ. (S033)
Devry Inst. of TechPhoenix (S134)
Univ. of Arizona (S155)
California
California (Univ. of)San Bern (S139)
California Poly StateSan Luis (S019)
California State PolyPomona (S096)
California State Univ.Chico (S203)
California State Univ.Dom Hill (S016)
California State Univ.East Bay (S208)
California State Univ.Fresno (S244)
California State Univ.Fullerton (S127)
California State Univ. - East Bay (S208)
California State Univ.Long Bch (S076)
California State Univ.Northrdg (S008)
California State Univ.Stanislaus (S108)
Golden Gate Univ. (S325)
Pepperdine Univ. (S247)
San Diego State Univ. (S002)
San Jose State Univ. (S055)
CANADA
British Columbia
British Columbia Inst. of Tech (S081)
Univ. of British Columbia (S252)
Montreal
Concordia University (S320)
Ontario
Algonquin College (S090)
Centennial College (S103)
Conestoga College (S054)
Confederation College (S236)
Durham College (S091)
Humber College (S309)
Mohawk College (S162)
Seneca College (S307)
Sir Sandford Fleming College (S041)
St. Clair College (S266)
York University (S313)
Quebec
Ecole Polytechnic (S243)
Hautes Etudes Commerciales (S106)
Laval Universite (S136)
Universite Du Quebec a Trois (S253)
Toronto
Univ. of Toronto-Rotman (S322)
Colorado
Colorado State Univ. (S073)
Delaware
Univ. of Delaware (S029)
Florida
Central Florida Univ. (S014)
Univ. of South Florida (S015)
Georgia
DeVry Institute of TechDecatur (S133)
Georgia Tech (S216)
Gwinnett Technical Institute (S202)
Univ. of Georgia (S024)
Idaho
Boise State Univ. (S223)
Brigham Young Univ. (S321)
Illinois
DeVry Inst of TechAshland (S168)
Governors State Univ. (S220)
Illinois (Univ. of) (S095)
Northeastern Illinois Univ. (S191)
Northern Illinois Univ. (S017)
Southern Illinois Univ. (S020)
Indiana
Ball State Univ. (S152)
Indiana State Univ. (S312)
Indiana Univ.Bloomington (S129)
Purdue Univ. (S150)
Southern Indiana (Univ.) (S169)
Univ. of Indianapolis (S329)
Iowa
Iowa State Univ. (S164)
Univ. of Iowa (S069)
Kansas
Wichita State Univ. (S232)
Kentucky
Eastern Kentucky Univ. (S143)
Kentucky (Univ. of) (S112)
Maryland
Frostburg State College (S089)
Towson State Univ. (S038)
Massachusetts
Assumption College (S071)
Boston Univ. (S059)
Lowell Univ. (S060)
MIT Sloan School (S176)
Massachusetts (Univ.) (S064)
Merrimack College (S021)
Salem State College (S197)
Western New England College (S092)
MEXICO
TESMCampus Queretaro (S205)
ITESMCEM Mexico City (S248)
ITESMCampus Morelia (S316)
ITESMSan Luis Potosi (S251)
Inst. Tecnologico de Chihuahua (S319)
Inst. Tecnologico de Juarez (S246)
Inst. Tecnologico de Queretaro (S323)
Tec de Monterrey Chihuahua (S262)
Tec de MonterreyJuarez (S263)
Universidad Auto de Cd. Juarez (S245)
Universidad de Guadalajara (S311)
Universidad Delas Americas (S250)
Universidad La Salle (S185)
UnitecUniver Tech de Mexico (S249)
Michigan
Central Michigan Univ. (S032)
Davenport Univ. (S300)
Eastern Michigan Univ. (S039)
Ferris State Univ. (S151)
Grand Valley State Univ. (S254)
ITT Tech. Inst.Grand Rapids (S328)
Lawrence Inst. of Tech (S037)
Oakland Univ. (S122)
Wayne State Univ. (S031)
Western Michigan Univ. (S141)
Minnesota
St. Cloud State Univ. (S200)
Univ. of St Thomas (S221)
Mississippi
Jackson State Univ. (S125)
Missouri
Southeast Missouri State Univ. (S237)
Missouri State Univ. (S124)
New Hampshire
Univ. of New Hampshire (S182)
New Jersey
Rutgers Univ. (S210)
New Mexico
New Mexico State Univ. (S131)
New York
Canisius College (S187)
Clarkson University (S330)
St. Johns Univ. (S212)
State Univ. NYBuffalo (S186)
State Univ. NYFarmingdale (S222)
State Univ. NYGeneseo (S231)
Syracuse Univ. (S137)
North Carolina
Appalachian State Univ. (S331)
Duke Univ. (S084)
Lenoir-Rhyne College (S264)
NC State Univ.Raleigh (S241)
Univ. NCChapel Hill (S063)
Univ. NCCharlotte (S083)
Univ. NCGreensboro (S046)
Univ. NCWilmington (S209)
Wake Forest Univ. (S080)
Ohio
Ashland Univ. (S218)
Bowling Green State (S018)
Case Western Reserve Univ. (S301)
Cleveland State Univ. (S183)
Kent State Univ. (S116)
Miami Univ. (Ohio) (S012)
Ohio State Univ. (S006)
Univ. of Akron (S023)
Univ. of Cincinnati (S109)
Univ. of Dayton (S138)
University of Findlay (S302)
Univ. of Toledo (S171)
Wright State Univ. (S204)
Oklahoma
Univ. of Central Oklahoma (S153)
Oregon
Oregon State Univ. (S149)
Portland State Univ. (S120)
Southern Oregon State (S167)
Pennsylvania
Drexel Univ. (S193)
Duquesne Univ. (S305)
Messiah College (S199)
Penn State Univ. Park (S326)
Robert Morris Univ. (S009)
Shippensburg Univ. (S225)
Slippery Rock State Univ. (S238)
Univ. of Pittsburgh (S226)
Univ. of Scranton (S079)
Villanova Univ. (S110)
Widener Univ. (S105)
Puerto Rico
Bayamon Tech. Univ. (S194)
BUAP (S317)
Univ. Popular Autonoma (S314)
Univ. of Puerto RicoMayaguez (S075)
Univ. of Puerto RicoRio Piedras (S154)
Univ. of Turabo (S219)
Rhode Island
Bryant College (S117)
Johnson & Wales Univ. (S310)
South Carolina
Clemson Univ. (S051)
Lander College (S163)
Univ. of South Carolina (S147)
Tennessee
East Tennessee State Univ. (S085)
Memphis State Univ. (S179)
Tennessee Tech Univ. (S174)
Univ. of Tenn (S265)
Univ. of TennMartin (S211)
Texas
DeVry Univ. (S315)
Texas A&M Univ. (S048)
Univ. of Houston (S030)
Univ. of North Texas (S010)
Univ. of TexasArlington (S065)
Univ. of TexasAustin (S142)
Univ. of TexasDallas (S308)
Univ. of TexasEl Paso (S228)
Univ. of TexasSan Antonio (S214)
Utah
Utah State Univ. (S128)
Virginia
James Madison Univ. (S157)
Norfolk State Univ. (S233)
VPI & State Univ. (S062)
Washington
Seattle Univ. (S234)
Western Washington Univ. (S184)
Wisconsin
Carroll College (S318)
Gateway Technical In (S027)
Lakeshore Technical (S036)
Marquette Univ. (S068)
N.E. Wisconsin Tech College (S261)
Univ. of WisconsinEau Claire (S107)
Univ. of WisconsinMadison (S035)
Univ. of WisconsinMilwaukee (S242)
Univ. of WisconsinOshkosh (S003)
Univ. of WisconsinStout (S113)
Univ. of WisconsinWhitewater (S011)