APS Online Applications
Certified Membership Application

Please complete the application below and click submit at the end of your application.  Once you have submitted your application a copy will be available for you to print and send with your payment.  A complete copy of your application will also be emailed directly to our office so that we can expedite your acceptance.

 

Name (First Name, Middle Initial, Last Name):
Mailing Address:
 
City:
State/Province (If applicable):
Country:
Postal Code:
Email Address:
Telephone Number (including country code):
   
Education
List higher education that is to be used to satisfy this requirement.
 
Name / Location of Institute: Dates of Attendance: Graduation Date / Degree Achieved:
 

Employment
List all employment criteria required, beginning with current employer first.
 
Company:
Productivity Specialist Firm? Yes   No
Mailing Address:
 
City:
State/Province (If applicable):
Country:
Postal Code:
Telephone Number:
Employment Dates: From:    To:
Years in Supervision or Management Position:
   
Company:
Productivity Specialist Firm? Yes   No
Mailing Address:
 
City:
State/Province (If applicable):
Country:
Postal Code:
Telephone Number:
Employment Dates: From:    To:
Years in Supervision or Management Position:
   
Company:
Productivity Specialist Firm? Yes   No
Mailing Address:
 
City:
State/Province (If applicable):
Country:
Postal Code:
Telephone Number:
Employment Dates: From:    To:
Years in Supervision or Management Position: