State of Maryland Department of Labor
Maryland Board of Architects
1100 N. Eutaw St
Baltimore, Maryland 21201
(410) 230-6322 (Baltimore area),    (888) 218-5925 (Toll Free)

Architect - Application for Architect License by Reciprocity

SECTION I.
Name in full 
MIDDLE 
LAST FIRST (IF YOU DO NOT HAVE A MIDDLE NAME ENTER "N.M.N.")
Residence Address 
STREET AND NUMBER
CITY COUNTY STATE ZIP CODE


SECTION II. ARCHITECT REFERENCES

In order that the Board might have sufficient information to intelligently pass on the applicant's qualification, the applicant is to submit with this application three (3) original letters from architects who know the applicant's work. The letters should contain the following information, where applicable concerning the applicant.
1. The business relationship to the applicant.
2. The number of years the architect has known the applicant.
3. Whether or not the architect feels that the applicant possesses adequate technical knowledge.
4. In the architect's judgement, has the applicant's experience been of a satisfactory grade and character?
5. What is the applicant's reputation in the profession of architecture?
6. Further comments and recommendation.
7. Name of State in which the architect is licensed and license number.
Full Name and Complete Current Address of Employer - Designate if the office was that of a registered architect. If the office was other than that of a registered architect, state business. Dates of Employment - Give Month and Year

Total Time Employed
Part Time Full Time
Indicate kinds of work engaged in for each employer, and percentage of total time for each.
Site Planning Architectural Design Working Drawings Coordination of Structural Design Coordination of Mech. or Elect. Specifications Writing Cost Estimating General Supervision Administration Client Contact **Other - Explain Below
From
 Years
 Years
To
 Months
 Months
From
 Years
 Years
To
 Months
 Months
From
 Years
 Years
To
 Months
 Months
EXPLANATIONS:   
 If "other" kinds of work are noted, describe work.
If part time work noted, state average number of hours per week.
IF NECESSARY ATTACH ADDITIONAL SHEETS
SECTION IV, EDUCATION TRANSCRIPTS: Applicants shall furnish to the Board a complete official grade transcript (photocopies & "issued to student" transcripts not acceptable) from the architectural college attended showing completion of required work and grades achieved, degree and date of award. (The Board is interested in advanced degrees, but transcripts leading to a bachelor's degree are essential.)
Colleges, Universities,
Technical Schools attended		 Dates of
Attendance		 Degree
Conferred
Graduate work Dates of
Attendance		 Degree
Conferred
SECTION V. CERTIFICATIONS:
I understand that by signing this statement, the license for which I am applying will expire on the date shown on the license which will be issued, and that I will be required to renew this license and pay the renewal fee prior to the above expiration date. I futher understand that I may not engage in the profession for which I have applied until such time as a license has been issued to me.

I hereby certify, under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge, information, and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor or have provided for payment in a manner satisfactory to the unit responsible for collection.

Signature of Applicant  
Date Signed 

NOTICE

YOU MUST ASSUME ALL RESPONSIBILITY FOR THE COMPLETENESS AND ACCURACY OF YOUR APPLICATION. UPON RECEIPT OF YOUR COMPLETED APPLICATION, VERIFICATION OF PRIOR LICENSURE, OFFICIAL COLLEGE TRANSCRIPT(S), AND THREE (3) CHARACTER REFERENCE LETTERS, YOUR APPLICATION WILL BE SUBMITTED TO THE MARYLAND STATE BOARD OF ARCHITECTS.