AIABaltimore CivicLAB 2017
Deadline: February 1, 2017

After completing the Application, applicants should forward the nomination form below to their firm principal or complete it themselves if they are self nominating:
https://goo.gl/forms/h8G3htsJklg25SRu2

First Name *
Your answer
Last Name *
Your answer
AIA Member Number (if applicable)
Your answer
Email Address *
Your answer
If you are a Registered Architect, please indicate year of registration
Your answer
Firm Organization/Company *
Your answer
Street Address *
Your answer
City *
Your answer
State
Your answer
Degree Major *
Your answer
College/University Name
Your answer
Year of Graduation *
Your answer
Organization and Activities *
Your answer
What Topic(s) Related to the Built Environment Are you Most Interested in Learning About? *
Your answer
Statement of Interest (200 words) *
Your answer
Applicant Agreement I fully understand the attendance and tuition requirements for CivicLAB and agree to fulfill those requirements if selected. I am a current member in good standing with the American Institute of Architects and will continue to be a member in good standing for the duration of the program. *
Required
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