CivicLAB 2018 Nomination Form
By completing this form, you approve of the applicant's participation in the CivicLAB 2018 program. This form should be filled out by the applicant's firm principal. Applicants not employed may self-nominate.

You may review the CivicLAB schedule and criteria here:

CivicLAB Dates (Each held at the AIABaltimore Gallery from 5–7:30pm)
March 7
March 28
April _TBD
May 23

First Name *
Your answer
Last Name *
Your answer
Firm Organization/Company *
Your answer
Email Address *
Your answer
Name of CivicLAB 2018 Applicant (First and Last Name) *
Your answer
Statement of nomination (100 words) *
Your answer
Will the firm be paying the applicant's $100 tuition? *
I authorize and encourage the above applicant to participate in the CivicLAB Program and fully understand the attendance and tuition requirements. *
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