Membership Application Please enable JavaScript in your browser to complete this form.1234Please select the type of membership you're applying for:Full MemberAssociate MemberOut of State MemberStudent MemberSustaining MemberNameFirstMiddleLastHome AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of birthPreferred EmailNextEmploymentEmployerAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWork PhoneWhere should we send your society mailings?HomeWorkPreviousNextEducationSchoolDegreeDate GraduatedNext SchoolDegreeDate GraduatedPreviousNextLicensureStateL.S. NumberP.E. NumberStateL.S. NumberP.E. NumberStateL.S. NumberP.E. NumberNon-Vermont ResidentsPlease list other state societies you are affiliated with and your membership level.State SocietyMembership CategoryState SocietyMembership CategoryIn submitting this application for membership to the Vermont Society of Land Surveyors, I agree to adhere to the VSLS Bylaws and Code of Ethics.Do you agree to VSLS By-Laws and Ethics?YesNoSelect Membership CategoryFull Member ($200, but first year is free) - $ 0.00Associate Member - $ 75.00Out-of-State Member - $ 100.00Student Member - $ 25.00Total$ 0.00CommentContinue