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MEMBERSHIP
APPLICATION |
The
following application is designed to assist those applicants who may
require translation into their native language. Therefore, type and
font are selected to be as clearly read and understood as possible,
with limited explanation and elaboration.
IDAD
Mail Forwarding:
PMB F273796
3590 Round Bottom Rd.
Cincinnati, OH 45244-3026
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REGISTRATION |
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E-Mail
Address:
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Date
of Application:
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Nominated
By:
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ALL
SECTIONS MUST BE COMPLETED |
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Member
Category Applied For:
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CANDIDATE'S
FULL NAME:
Last:
Middle:
First:
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OFFICIAL
ADDRESS:
Telephone Number:
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PERMANENT
ADDRESS:
Other Contact Number:
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GENERAL
EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:
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PROFESSIONAL
EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:
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GRADUATE
EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:
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MEMBERSHIP
IN OTHER PROFESSIONAL BODIES:
NAME OF SOCIETY:
MEMBERSHIP
RANK GAINED:
NAME OF SOCIETY:
MEMBERSHIP RANK GAINED:
IF
EXPELLED FROM A SOCIETY, THE REASON:
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DETAIL
YOUR PRESENT MAIN OCCUPATION:
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DETAIL
SECONDARY & MINOR OCCUPATION:
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DETAIL IF YOU ARE ENGAGED IN PRIVATE PRACTICE:
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DETAIL
YOUR REASONS FOR SEEKING MEMBERSHIP:
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HAVE
YOU APPLIED FOR MEMBERSHIP PREVIOUSLY?
YES
IF YES, PROVIDE DATE NO
DATE:
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DATA
PROTECTION RELEASE AND OBLIGATIONS: |
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I,
being the applicant, release the foregoing information for use by the
Institute and its directors and staff: and details on my membership enrollment
application can be used at the discretion of the Institute for all and
any purpose related to membership in the Institute:
I
agree:
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I.
being the applicant, understand that the enclosed non-refundable Application
fee of $50.00 USA Money Order does not cover the subsequent annual fee.
I also understand that if accepted by IDAD that I will be subject to
an interview at the cost of $50.00 Postal Money order. The annual fee
is based on the membership rank awarded and will fall between $90.00
and $225.00 depending on the level of qualification won.
I
agree:
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APPLICANT LEGAL STATEMENT: |
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I,
the candidate, hereby indicate the following responses, understanding
that falsification is grounds for non-issuance of IDAD membership, and
that the following yes or no response is made under oath and subject to
being selectively checked using the resources of crime data research services
and/or Government Crime Commissions.
I declare the following responses under oath:
Have
you ever been found guilty of a High Crime?
YES
NO
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REFEREE'S
DECLARATION: |
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I,
the candidate understand that a letter from my employer/ college head,
declaring knowledge of this application, and the truthfulness of my submitted
information IS REQUIRED, and must be sent with the application payment.
I understand:
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APPLICANT
DECLARATION: |
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I,
the candidate, hereby agree and certify, that answers given herein are
complete and correct and I also authorize investigation of all statements
and required attached inserts as may be necessary. I hereby subscribe
to, and agree to abide as an act of free will, to the Institute of Destination
Architects and Designers Code of Ethics and give my full affirmation to
the content and purpose of the code; I understand and accept that provision
of misleading or false data and information could lead to a refusal of
membership and/or a rescission of membership if granted on the basis of
such information contained on the application form.
I
Understand and Agree:
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PAYMENT
AND VERIFICATIONS |
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Remember
to send your application fee soon after completing this form. The fee
will only be accepted via Postal Money Order or by using our online
payment service. YOU MUST INCLUDE THE FOLLOWING (in one mailing)
if you are applying by web:
1.
Academic Awards Gained (Photostatic Copies)
2. Referee's signed declaration of affirmation regarding your information.
3.$50.00 US Money Order or PAY ONLINE
( PAYING ONLINE DOES NOT SUBMIT THIS FORM; submit
this form by pressing "Submit" Below ) |
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