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2017-2018 Design Professional Application

AiS Logo

Design Professionals,

Thank you for your interest in participating in the 2017-2018 Architects in Schools season. You must read the program information and fill out the application below to participate. Please read each question carefully and respond thoughtfully. Your responses will be what we use to match you with an appropriate school. Thank you!

 

If you have any questions, please contact Kim Ruthardt-Knowles at 503-317-7537 or kim@af-oregon.org.

Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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(check all that apply)
(For instance, Portland AiS includes Multnomah, Clackamas, & Washington counties; Central Oregon AiS includes Bend, Redmond, Tumalo, LaPine & Sisters; Salem may include Keizer; Eugene may include Springfield; Southern Oregon may include Medford & Ashland, etc.)

(bicycle, public transit, etc.)


(check all that apply)
Our complimentary 300+ page curriculum guide is also available online through our website. You will be granted access once you are accepted into the program. Please specify if you would also like a hard copy.

If so, please provide their name and contact info
Design Professional Signature

By signing this application, I am assuring that all information provided is true to the best of my knowledge and that I have read and am fully aware of the program criteria and design professional responsibilities (here) for participating in this program. I will:

  1. Partner with the teacher I am assigned to work with to the best of my ability to design and present an appropriate residency.
  2. Attend a program orientation or, if that is not possible, meet individually with AFO staff before beginning the AiS program.
  3. Work with my assigned teacher and AFO as a team to ensure the success of this residency.

If for any reason I have concerns or am not able to participate fully in the Architects in Schools program, I will notify AFO staff immediately.

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(enter your first and last name)
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(MM/DD/YY)
Consent for Criminal Background Check
It is required that design professionals volunteering in the AiS program go through a background check before beginning their residency in the classroom. Your signature below authorizes the Architecture Foundation of Oregon and Criminal Information Services, Inc. to obtain information about you (if applicable) from various law enforcement agencies, courts, and corrections agencies.
Please complete all information below.
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(enter your first, middle and last name)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code

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(MM/DD/YYYY)
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Applicant's signature: I have reviewed and completed this form as applicable to me. I give the Architecture Foundation of Oregon permission to verify any information I have provided. This authorization shall continue to be effective until revoked by me. A photocopy or facsimile copy of this consent shall be as effective as the original. By my signature, I affirm that all information on this form is true and accurate.

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(enter your first and last name)
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(MM/DD/YY)