Complete the RAPID member application inquiry form below and someone will be in touch with you about your inquiry. Application PDF Organization Name Additional Organizational Contacts Provide additional names of key people if applicable. Members Council Representative Name Title Address City Zip Code State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Office Number Mobile Number Email Financial Contact Name Title Address City Zip Code State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Office Number Mobile Number Email Organization Information Insert a brief organization description here. In particular, what kinds of goods or services are provided by your company or organization? Describe your organization's current level of U.S. capability and resources, those anticipated during the project work, and/or planned in the future, including employment, funding, and investments in cost share within the U.S. related to your participation in RAPID. What R&D facilities or operations outside the US related to modular chemical process intensification does your company have? Describe the anticipated benefits of your membership and/or participation in projects to the success of RAPID's mission. U.S. economic benefit, the project team (if application), and the broader membership. How can your organization contribute to the RAPID expertise base? Overall Organization Information BUSINESS SIZE - Select -Large Business (> 500 people)Small Business Business Type Select all that apply Not for Profit/Academic Institution Foreign Control/Ownership (50% or greater owned or controlled) Minority Owned Woman Owned Parent Organization(s) Name Country of Incorporation of Parent Organization Designated Interest Areas Designated Interest Areas - Select -Chemicals & Commodity ProcessesIntensified Process FundamentalsModeling & SimulationModule ManufacturingNatural Gas UpgradingRenewable Bioproducts U.S. Employees' Job Functions U.S. Employees' Job Functions Select all that apply Consulting Engineering Management MFNG Research & Development Sales Technical Service Total Employees in the U.S. - Select -1-1011-5051-250251-500501-10001001-2500>2500 Capabilities and Interests Capabilities and Interests Select all that apply Software Design Hardware Design Computational Design Process Simulation Process Design Process Control Education and Training Piloting Capabilities Integrated Modular Equipment Design Project Execution Techno-Economic Evaluation Membership Type Requested Membership Type Requested - Select -Non-Profit Organization Membership|Non-Profit Organization MembershipGovernment Agency/National Laboratory MembershipCollege or University MembershipIndustrial Membership|Industrial Membership Small Business (<500 employees)Industrial Membership Medium Business (500-1,000 employees)Industrial Membership Large Business (>1,000 employees) Select the level of Non-Profit Organization Membership - Select -Premier - $7,000Choice - $7,000Enabling - $7,000Affiliate - $1,000Not sure, would like to discuss. Select the level of Government Agency/National Laboratory Membership: - Select -Premier - $7,000Choice - $7,000Enabling - $7,000Affiliate - $1,000Not sure, would like to discuss. Select the level of College or University Membership: - Select -Premier - $7,000Choice - $7,000Enabling - $7,000Affiliate - $1,000Not sure, would like to discuss. Select the level of industrial membership - Small Business (<500 employees) - Select -Premier - $50,000Choice - $20,000Enabling - $5,000Affiliate - $1,000 Select the level of industrial membership - Medium Business (500-1,000 employees) - Select -Premier - $50,000Choice - $20,000Enabling - $5,000Affiliate - $2,500 Select the level of industrial membership - Large Business (>1,000 employees) - Select -Premier - $50,000Choice - $20,000Enabling - $5,000Affiliate - $5,000 I acknowledge the Terms & Conditions? Name of Authorized Representative CAPTCHA Math question 3 + 12 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
