1 Organisation 2 President 3 Secretary 4 Main contact 5 Complete Personal profile Society name * Date society set up * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 Year Aims and objectives of society * Number of members * Organisation website URL * Organisation general email * Who is your Society's Governing Body, eg a Council, An Executive Committe? and how many members are on this Governing Body? * Organisation Activities Meetings - frequency, number of delegates * Newsletter – frequency * Other activities (please list) * Why is your Society interested in becoming an ESE Associate Partner Society? * The data that you submit via this form will be used in order to record and process the application and to deliver services and products. Your data will be made available to ESE in order to approve your application. The data that you submit via this form will be stored securely in accordance with ESE’s Privacy Policy and will not be shared with any third parties unless you have opted in to receive industry news from the Society's Corporate Partners. Your data will be fully accessible upon request and you can unsubscribe from the mailing list at any time. Please confirm you have read and agree to ESE's Privacy Policy * I have read, understand and agree to ESE’s privacy policy Leave this field blank Next page