Membership Application

Applicant Information

First Name: *

Last Name: *

Email: *

Phone (+ext): *

Job Title: *

In your institution, you are a: *

Highest Level Dive Certification: *

Certifying Agency: *

Referred to ADPA by:

I am applying for:

Professional Membership

Professional Member: Dive professionals, defined as a paid employee of an institution holding a current, active instructor certification from an internationally recognized agency (or equivalent certification), actively involved in the administration of a diving program consistent with the mission and objectives of The Association are eligible for Professional Membership. Professional Members may vote during all election periods, serve on the Board of Directors, attend all regular meetings and symposia of The Association and have access to online resources provided by The Association.

Associate Membership

Associate Member: Paid employees who are not professional divers, as defined by these bylaws, but are actively involved in the administration of a diving program consistent with the mission and objectives of The Association are eligible for Associate Membership. Associate Members may attend all regular meetings and symposia of The Association and have access to online resources provided by The Association but may not vote or serve on the Board of Directors. Contractors are eligible for Associate Membership as approved by the Board.

Institution Information

Institution: *

Mailing Address: *

City: *

State: *

Country: *

Zip Code +4/Mailing Code: *

Business Phone (+ext): *

Memberships/Affiliations (select all that apply)
AAUS Organizational MemberAZA Accredited

Annual Visitor Attendance:

Immediate Supervisor

First Name: *

Last Name: *

Title: *

Email: *

Phone (+ext): *

Dive Program Summary

Dive Modes Utilized: *
SCUBASurface-SuppliedHookahBreath-hold

Number of Staff Divers: *

Annual Staff Dives: *

Staff Diving Activities: *
ResearchGuest Immersion ProgramsExhibit HusbandryEquipment RepairPresentationCollection

Number of Volunteer Divers: *

Annual Volunteer Dives: *

Volunteer Diving Activities: *
ResearchGuest Immersion ProgramsExhibit HusbandryEquipment RepairPresentationsCollection

I am aware of the mission and objectives of the ADPA, which are:

To provide a professional forum for the creative exchange of ideas, information, support and solutions within the community of diving program administrators.
To develop a network to facilitate regular and convenient communication between diving programs.
To assist and encourage diving programs in maximizing their potential for public education, aquatic conservation efforts and preservation of the environment.
To support and assist diving program administrators in meeting the common challenges of maximizing diver safety, effective use of human resources and professional development.

By submitting this application, I certify that my program and its goals are consistent with ADPA, and that one of my interests in becoming a member is the exchange of ideas and knowledge with the other members of the ADPA.
YES - I certify that my program and its goals are consistent with the ADPANO - I DO NOT certify that my program and its goals are consistent with the ADPA