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User account

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

If you are an AAEM member, please create an account. Current membership status will be verified before your account is activated, so please allow a few days before hearing back from us.

Contact information

Mobile phone:

Enter your mobile telephone number. The content of this field is kept private and will not be shown publicly.

Work phone: *

Enter your work phone number. The content of this field is kept private and will not be shown publicly.

Street address: *

Enter your street mailing address, i.e., "1234 Main St." This information is only visible to AAEM personnel for official correspondence. The content of this field is kept private and will not be shown publicly.

Apt, suite, etc.:

Enter your suite number, or other mailing information, if applicable. The content of this field is kept private and will not be shown publicly.

City, state, ZIP: *

Enter your city, state, and ZIP in the format "Beverly Hills, CA 90210." The content of this field is kept private and will not be shown publicly.

Personal information

Title: *

Select a title

First name: *

Enter your first name.

Last name: *

Enter your last name and any particulars (Jr., Sr., etc.)

Blurb:

If you want to type a few lines about yourself, your background, or how you came to be a member of AAEM, please feel free to do so in this space.

Professional information

County employer:

If you work for a county gov't, please tell us which.

State employer:

If you work for the State of Alabama, please tell us which agency or office.

Other employer:

If you work for a city, town, school district, in industry, or for a non-governmental organization, please tell us which.

Federal employer:

If you work for the federal gov't or the military, please tell us which agency or branch.

Position:

Enter your position or job title.

Department: *

Enter your office or department, distinct from your employer; i.e., you work for County XYZ, but your department is "EMA" or "Animal Control," etc.

Certifications:

If you have any professional certifications (such as CEM) you would like to list, please do so here. Put each item on a separate line or separate them by commas. No HTML allowed.