President
Professor Ion Paraschivoiu
École Polytechnique de Montréal, Department of Mechanical Engineering
P. O. Box 6079, Station Centre-Ville, Montréal, (Québec) H3C 3A7 Canada

Membership Application Form *

NAME                                   __________________________________________________
BIRTHPLACE AND DATE __________________________________________________
IMMIGRATION STATUS   __________________________________________________
PRESENT OCCUPATION  __________________________________________________
PROFESSION                      __________________________________________________
SCHOOLS ATTENDED (secondary, university) AND DEGREES OBTAINED
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RECOGNITIONS (scholarships, fellowships, awards, professional organizations) :
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PUBLICATIONS (books, monographs, published papers, panel participantion etc.)
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                                           ___________________________________________________                                              ___________________________________________________
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                                           ___________________________________________________
PREVIOUS POSITIONS (in the U.S.A., Romania or other countries)
                                           ___________________________________________________
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                                           ___________________________________________________
SIGNATURE, ADRESSE and DATE
                                           ___________________________________________________
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(Please use additional sheets if needed)