An application is being made for the citation of the following architect as a Citizen Architect as conferred by the American Institute of Architects for outstanding civic contribution. Please fill in the required information and submit to AIA Florida. The 2018 class of Citizen Architects will receive their pins and certificates at AIA Florida’s Legislative Day in early 2019 in Tallahassee. Members may apply themselves. Components are encouraged to identify members to apply. It is not necessary to be nominated by your component.

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* 1. Name

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* 2. AIA Member Number

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* 3. Email Address

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* 4. List of Civic Involvement:
(Involvement should be of any type that furthers the Architect’s recognition as a community leader. Activities could be membership including, but not limited to, that of an elected official, a civic board , architectural review boards, code enforcement boards, involvement in design charrettes, etc.) Please include dates of involvement and any specific achievement that you would like to highlight.

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* 5. Include a brief explanation of why you should receive the Citizen Architect designation?

Applications are due Monday, October 1, 2018 by 11:59 pm eastern. Applications should be completed using this survey. A resume must be uploaded to https://spaces.hightail.com/uplink/AIAFlorida as one PDF file named Lastname.Firstname.pdf.

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