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CII Member Application

Individual provides administrative support to the Board Advisor and Alternates. (Meetings: none required) Name Nickname Title Address City State/Province Zip/Postal Code Sector Committee Representative: Individual participates in one or more of the five CII Sectors. (Meetings: two per year for each sector) Name Nickname Title Address City State/Province Zip/Postal Code Sector Committee Alternate: Designated substitute for Sector Committee Representative. (Meetings: two per year for each sector) Name Nickname Title Address City State/Province Zip/Postal Code PAS Administrator: Individual
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0% found this document useful (0 votes)
41 views

CII Member Application

Individual provides administrative support to the Board Advisor and Alternates. (Meetings: none required) Name Nickname Title Address City State/Province Zip/Postal Code Sector Committee Representative: Individual participates in one or more of the five CII Sectors. (Meetings: two per year for each sector) Name Nickname Title Address City State/Province Zip/Postal Code Sector Committee Alternate: Designated substitute for Sector Committee Representative. (Meetings: two per year for each sector) Name Nickname Title Address City State/Province Zip/Postal Code PAS Administrator: Individual
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Membership Application

Benefits of CII Membership Obligations of CII Membership


Collaboration with leading industry, Timely payment of annual dues
government, and academic institutions on key (CII is a Non-Profit with tax deductible membership dues)
industry issues Executive participation on the CII Board of
Leadership development Advisors a primary advisor and one or more
Networking leading to partnerships and long- alternate(s)
term relationships Participate in the CII Board of Advisors meetings
Free, unlimited organizational access to the CII and Annual Conference
Knowledge Base, a 24/7 web-based resource of Participate in Sector research and deliverables
CII practices, products, and tools that when
successfully implemented produce significant Sector Participation
improvements in the safety, cost, schedule,
quality, and sustainability of capital facility Each Member Company participates in 1 or
projects. more of the 5 sectors.
Education and training resources, including -Upstream, Midstream, Mining
online courses, modules for self-instruction, -Downstream, Chemical
workshops and customized clinics -Power, Utilities, Infrastructure
-Healthcare & Facilities
Free access to all standard CII Benchmarking & -Manufacturing, Life Sciences
Metrics reports
Ability to input an unlimited number of projects Each Sector conducts 1, up to 2 initiatives at a
into CII Performance Assessment System time which represent key business imperatives
(PAS), a secure project database managed by for the capital projects in that committees
CII, where self-analysis tools give members the sector.
ability to benchmark their projects against the
best in the industry. Profile of a CII Member
Implementation support to integrate CII Owner Executes significant capital facility
practices into planning and execution phases of investment programs, and maintains ownership
member companies capital facility life cycle and operating responsibility of completed
needs. Effective implementation results in projects.
organizational improvements in planning,
execution, and delivery of capital facilities Contractor/Supplier Leading contributor to the
projects. planning, design, procurement, construction, or
commissioning processes.
Member pricing on CII products, online training,
clinics/workshops, and education modules
Membership Participation and Dues
Access to member-only products and events
Standard Dues
All Members Annual Dues: $39,600
Core Participation: 4 people
Conduct business in an ethical manner.
Small Company Dues
Committed to improve safety & capital Annual Dues: $19,800
efficiency. Core Participation: 2 people

Provide added value to the CII membership. Definition of a Small Company


CAPEX Ceiling <$ 20M
Align with the vision, mission, and values of CII. Other Revenue Ceilings
Agree to provide personnel and resources to EPC <$100M
Construction & Maintenance Only <$ 75M
carry out work for your sector and standing
committees within CII. Engineering & Design Only <$ 50M
Supplier/Consultant (75% from E&C) <$ 50M
Membership Application

Official Company Name:

Preferred Abbreviated Name: Web Site:

Select the appropriate membership category below:


Standard Member Small Company Member
Owner Owner
Contractor Contractor
Supplier Supplier
Other (specify): Other (specify):

Primary Contact

Name Nickname

Title

Address

City State/Province Zip/Postal Code Country

Phone Email

How did you learn about CII?


What value do you expect your organization will bring to the CII membership?
Which of the following were drivers for your organization to join CII? (Check all that apply)

Capital Facility Research Safety Enhancement


Personnel Development Education & Training
Knowledge Transfer Collaboration with Industry & Academic Leaders
Benchmarking & Metrics Implementation of CII Practices
Breakthrough Strategy Discovery Member Conferences & Workshops
CII Executive Leadership Program Free Access to CII & Member Only Products
Other

CII considers each applicant on a case-by-case basis to ensure that the CII membership remains a network of industry
peers. Please list the CII member companies and the primary contact with which you do business.

1.

2.

3.
Membership Application

Company Size/Markets Served


The information provided in this application will be treated as private and will be held in the strictest confidence by the
CII staff and members of its Executive Committee and Membership Committee. These parties require this information
to help them review the applicants request for CII membership.

Parent Company (if applicable)

Subsidiary Companies (if applicable)

Customer/Client Types

Industry Rankings (Fortune, ENR if known)

Location of Headquarters

Market Sectors: (check all that apply)


%Facilities %Hazardous Waste % Motor Vehicles
%Chemicals %Healthcare % Pharmaceuticals & Medical
%Consumer Products %Industrial/Petroleum Refining % Power Generation
%Food & Beverage % Manufacturing % Transportation/Aviation
% Forest Products %Mining/Crude Oil % Water/Sewer Waste Devices
% Government Agencies % Mining & Metals %Other

SIC / NAICS Code(s)

Location / Type of Major Facilities:


City, State, Country Type of Facility

Owners Only Number of Permanent Employees:


Annual Revenue $ Annual Dollar Value of CAPEX $
Company Type: Private Public Government Other

Contractors Only Number of Permanent Employees:


Annual Revenue $ Annual Value of Installed Projects $
Service Type:
Architect Engineering/Design Procurement Supplier
Construction Field Services Project Management Other
Consultant Maintenance Repair (MRO)
Membership Application
Key Roles and Responsibilities for Members

In accordance with their commitment to CII core process participation, members are required to designate key personnel to serve in
various leadership and administrative positions. An individual may be designated for more than one, but not more than two,
positions. Positions with red titles are required to be provided at time of application.

Board Advisor - Primary Representative: Individual should have the organizational authority to take a leadership role in the
development of a CII participation agenda. This includes the development and execution of an implementation strategy and the
authority to influence organizational change. (Meetings: Two Board meetings and one Annual Conference)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Board Alternate(s) (minimum of one) - Designated Substitute: Individual(s) are part of member organizations CII leadership team. They may
attend meetings or vote on behalf of the organization. (Meetings: two Board meetings and one Annual Conference)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Online Administrator (minimum of one) - Individual(s) provide member access to the CII website to personnel within the member
organization, keeping personnel access control within each member organization.

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Communications/Marketing Contact (minimum of one) - Individual(s) that facilitate internal/external communications and/or
market and brand your organization.

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Membership Application

Sector Participant (Sector participant)


(Choose Sector: Upstream, Midstream, Mining Power, Utilities, Infrastructure Downstream, Chemical Healthcare, Facilities Manufacturing, Life Sciences)

Individual(s) participate in sector initiative topic selection, membership sector growth, sector communications, and
the full development/delivery of sector educational products and services as well as key performance indicators.

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Sector Participant (additional Sector participant if applicable)


(Choose Sector: Upstream, Midstream, Mining Power, Utilities, Infrastructure Downstream, Chemical Healthcare, Facilities Manufacturing, Life Sciences)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Sector Participant (additional Sector participant)


(Choose Sector: Upstream, Midstream, Mining Power, Utilities, Infrastructure Downstream, Chemical Healthcare, Facilities Manufacturing, Life Sciences)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Sector Participant (additional Sector participant)


(Choose Sector: Upstream, Midstream, Mining Power, Utilities, Infrastructure Downstream, Chemical Healthcare, Facilities Manufacturing, Life Sciences)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email
Membership Application

Sector Participant (additional Sector participant)


(Choose Sector: Upstream, Midstream, Mining Power, Utilities, Infrastructure Downstream, Chemical Healthcare, Facilities Manufacturing, Life Sciences,)

Name Nickname
Title
Address
City State/Province Zip/Postal Code Country
Phone Email

Provide your organizations ethics statement below or attach your code of conduct.

CII encourages the exchange of ideas and information between its membership and the
academic community. CII members shall refrain from business development activities,
including social or recreational, activities during CII events, sponsorship of events at CII
functions, and the use of CII member and meeting rosters for marketing or sales purposes.

CII will not be bound by terms and conditions that differ from or add to this signed application
for membership.

Submission Date:

Name Title

Signature

Your signature represents that you have read and accept the obligations of CII membership on behalf
of your organization, and that if accepted, your organization will comply with the obligations and
policies of CII membership.

Signed applications transmitted by PDF, fax, or mail are acceptable. Unsigned applications cannot be processed.

Return to Jenny Bien by email [email protected], by fax 512-472-1531, or mail to Construction


Industry Institute, 3925 West Braker Lane (R4500), Austin, Texas 78759

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