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

REGISTRATION  
  E-Mail Address:
Date of Application:
Nominated By:  
  ALL SECTIONS MUST BE COMPLETED  
  Member Category Applied For:  
 

CANDIDATE'S FULL NAME:

Last: Middle: First:

 
  OFFICIAL ADDRESS: Telephone Number:  
  PERMANENT ADDRESS: Other Contact Number:  
     
  GENERAL EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:
 
 

PROFESSIONAL EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:

 
  GRADUATE EDUCATION:
ADDRESS:
ACADEMIC AWARDS GAINED:
 
 

MEMBERSHIP IN OTHER PROFESSIONAL BODIES:

NAME OF SOCIETY:
MEMBERSHIP RANK GAINED:

NAME OF SOCIETY:
MEMBERSHIP RANK GAINED:

IF EXPELLED FROM A SOCIETY, THE REASON:

 
   
 

DETAIL YOUR PRESENT MAIN OCCUPATION:

 
 

DETAIL SECONDARY & MINOR OCCUPATION:

 
 

DETAIL IF YOU ARE ENGAGED IN PRIVATE PRACTICE:

 
 

DETAIL YOUR REASONS FOR SEEKING MEMBERSHIP:

 
 

HAVE YOU APPLIED FOR MEMBERSHIP PREVIOUSLY?

YES IF YES, PROVIDE DATE        NO
DATE:

 
  DATA PROTECTION RELEASE AND OBLIGATIONS:  
 

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:

 
 

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:

 
  APPLICANT LEGAL STATEMENT:  
 

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

 
  REFEREE'S DECLARATION:  
 

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:

 
  APPLICANT DECLARATION:  
 

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:

 
  PAYMENT AND VERIFICATIONS  
 

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 )