Uap Membership Application Form
Uap Membership Application Form
Uap Membership Application Form
A. PERSONAL INFORMATION
FAMILY NAME FIRST NAME MIDDLE NAME
CURRENT PHOTO
BIRTHDATE (MM/DD/YYYY) BIRTHPLACE SEX CIVIL STATUS (1.5” X 1.5”; white background)
NAME OF COMPANY AND ITS OFFICIAL ADDRESS TEL NO/s. FAX NO/s. EMAIL ADDRESS
DESIGNATION
SCHOOL GRADUATED (For Your BS Architecture Diploma) YEAR GRADUATED HONORS
B. PROFESSIONAL INFORMATION
PROFESSION PRC REGISTRATION NO. DATE ISSUED VALID UNTIL
01 Registered and Licensed Architect
02
03
SPECIFIC TYPE OF EXPERTISE YEARS OF PRACTICE TYPE OF ARCHITECTURAL PRACTICE ARCH’L SERVICES RENDERED:
01 ACADEME PRE-DESIGN DESIGN
SPECIALIZED
02 GOVERNMENT ALLIED
CONSTRUCTION
POST
03 PRIVATE PRACTICE CONSTRUCTION
DESIGN-BUILD
OTHERS
04 PRIVATE CORPORATION CONSULTING ___________
CPE/CPD SEMINARS/MODULES ATTENDED FROM PREVIOUS FISCAL YEAR TOTAL CPE UNITS PARTICIPATION
DATE GIVEN
(Seminars given by the UAP as CPE Provider for Architecture Profession) EARNED (as Speaker/Participant)
01
02
03
04
C. MEMBERSHIP STATUS
YEARS OF LATEST POSITIONS HELD
UAP CHAPTER AFFILIATIONS
RESIDENCY (as regular member or officers)
CURRENT CHAPTER
PREVIOUS CHAPTER
POSITIONS HELD IN THE NATIONAL BOARD, NATIONAL OR SPECIAL COMMITTEES INCLUSIVE DATES
01
02
03
UAP COLLEGE OF FELLOWS, YEAR ELEVATED EXPERTISE
CERTIFICATION Signature and Date
I hereby certify and declare under the penalties of perjury, that all the information herein is a true statement of
my personal and professional information as of this date, as required by and in accordance with the UAP By-
Laws and its Implementing Rules and Regulations.
Membership Form rev 07/2015
UAP IS ABOUT PEOPLE Architects working together, helping each other create better places
to live, work, and play. Membership in the UAP offers a vast pool of resources to help you
compete in today's market and keeps you informed of critical professional issues that may
challenge your success. Moreover, when you get involved locally through your UAP's local and
CHAPTER CERTIFICATION
international Chapters, you make new friends, expand your professional contacts and knowledge
base, and work together with colleagues to improve the quality of life in your home community.
I hereby certify that Arch. ____________________________________________
UAP IS ABOUT COMMUNITY Promoting fellowship and collaboration among members and
within our community at large. UAP Members are design professionals who are eager to extend is a regular member of __________________________ Chapter and has paid and
their professional network, to share information and exchange ideas. The calendar of events
incorporates a rich and varied program of educational events, social gatherings, committee settled his/her arrears and Chapter Dues for the Fiscal Year ___________________.
meetings, and other events that connect members with each other, to the broader professional
community, and to the public. As such, I hereby authorize him/her to directly pay his Annual UAP Membership Fee
UAP IS ABOUT KNOWLEDGE Facilitating the sharing of Knowledge about Design and about for the said Fiscal Year to UAP National Administration Office.
Practice that inspires and enables members and the public. UAP Chapters provides a variety of
continuing education programs that address current challenges, innovations, and practice
trends. UAP Members also have access to a variety of professional resources and technical ___________________________________________ _________________
materials at a discounted rate. Signature over Printed Name of Chapter President/ Treasurer Date
UAP IS ABOUT ADVOCACY Serving as a voice on community, legislative and design matters
and promoting the rights of every registered and licensed architects and the value of their OFFICIAL IAPOA NUMBERS:
services to the public. UAP Chapter members work collaboratively with their local government Fiscal Year UAP Number + Official Receipt No. + Date of Payment
units in coordination with the UAP National to strengthen the voices of architects in government 2012 - 2013
and community leadership at the city, municipal, provincial and national level. To promote the
unique value of architects and the importance of design excellence, UAP features members' 2013 - 2014
works through programs like the National Design Competition sponsored by various non- 2014 - 2015
government sectors. 2015 - 2016
2016 - 2017