State Of Maryland Department of Labor, Licensing And Regulation
Maryland Board of Certified Interior Designers
500 N. Calvert St., Room 308
Baltimore, Maryland 21202
(410) 230-6322 (Baltimore area),    (888) 218-5925 (Toll free)

Interior Designers - Application For Certification by Examination via NCIDQ

Name in full 
LAST  (NAME ON TRANSCRIPT IF DIFFERENT)

FIRST  MIDDLE (IF YOU DO NOT HAVE A MIDDLE NAME, ENTER "N.M.N.")
Residence Address 
STREET AND NUMBER

CITYCOUNTYSTATEZIP CODE


EDUCATION

II. QUALIFICATIONS: Business Occupations and Professions Article §8-302 states, that to qualify for licensure, the applicant shall: "...have satisfied education and experience requirements necessary to qualify for the National Council of Interior Designers Qualification examination, or its equivalent, as determined by the Board; and have passed the National Council of Interior Designers Qualification examination, or its equivalent."

  
III. EXAMINATION: The Applicant must request that written verification of the passage of the NCIDQ examination, grades received and the date of passage be sent directly to the Board's office. A photocopy of the results sent to you will not be accepted. As your experience has been accepted by the NCIDQ to qualify for examination, you do not have to submit experience for the Board's review.

 

IV. APPLICATION REVIEW: Upon receipt of your application, transcript(s), verification from NCIDQ or verification of certification/licensure, your application will be submitted to the Maryland Board of Certified Interior Designers for review. You must assume all responsibility for the completeness and accuracy of your application.

 

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, Licensing and Regulation 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, Licensing and Regulation or have provided for payment in a manner satisfactory to the unit responsible for collection.

Signature of Applicant       Date Signed 


FOR OFFICE USE ONLY

APPROVED BY: DATE
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DENIED BY: DATE
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REASON FOR DENIAL: