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American Society of Enrolled Actuaries (ASEA)
Application for Student Membership
Name:
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Prefix
First
MI
Last
Company:
If applicable
Title:
Address Type:
Home
Business
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone:
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###
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###
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Home Zip Code:
(for Government Affairs purposes)
Personal Email Address:
Do you hold any actuarial professional credentials?
ACA
ASA
ACAS
EA
CERA
FCA
FCAS
FSA
MAAA
Which position best describes your job function?
Accountant/Plan Auditor
Actuary
Advisor – 401(k)
Advisor – 403(b)/457 Plan
Attorney
Home Office (BD, RIA, DCIO)
Institutional Trainer
Recordkeeper
Student (Full-time)
TPA/Plan Administrator
Wholesaler (External)
Other
Which business most closely describes your place of employment?
Accounting
Actuarial/Employee Benefits
Bank/Savings & Loan
Brokerage
Computer/Software
Consulting
Educational Institution
Government Entity
Human Resources
Industry Training
Insurance Agency
Insurance Provider
Investment Consulting
Investment Provider
Legal
Mutual Fund/DCIO
Plan Sponsor
Recordkeeper
Student (Full-time)
TPA
TPA — Producing
Other
Code of Conduct:
Have you been found guilty of a felony, violation of insurance or securities regulations or any violation of the code of ethics of any professional or business organization?
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Yes
No
If yes, explain.
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*
I have read the ASPPA Code of Professional Conduct, the Code of Professional Conduct for Actuaries, and the Terms of Use for the ASEA Academy Forum Google Group. If my application is accepted I agree to abide thereby. I certify that the information provided in this application is true and correct to the best of my knowledge. (If you do not have a copy of the ASPPA Code of Professional Conduct, or the Terms of Use for the Google Group, please call the ASEA office to request one.)
Signature
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Clear
Date:
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MM
/
DD
/
YYYY
Dues Payment
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$50 Student Membership (through 12/31)
Current ASPPA members
Current ASPPA members, please provide ASPPA Member ID number (payment is not required)
I am paying by:
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Check
Credit Card
Credit Card Type:
Mastercard
Visa
Amex
Discover
Name as it appears on card:
*
First
Last
Credit Card Payment
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
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Signature
*
Clear
Check Payments:
Paying by check? Please print a copy of your completed application and send with check payment to: ASPPA, P.O. Box 34725, Alexandria, VA, 22334-0725.
Questions? Please call us at 703-516-9300.
Tax Deductions:
Dues, contributions or gifts to ASEA are not deductible as charitable contributions; they may be deductible, however, as ordinary and necessary business expenses. Federal law prohibits a tax deduction for the portion of membership dues attributable to lobbying expenses incurred by the organization. Consequently, for 2025, 18% of your dues are non-deductible in accordance with this provision.
Total
$0.00