Form 3 - Verification Of Out-Of-State Licensure, Registration And Examination Page 2
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1
22
Equivalency Examination (June 1973 - June 1976)
Hours
Grade
Date Passed
I.
Architectural History
2
II.
Construction Theory & Practice
8
10 (73-75)
III.
Architectural Design/Site planning
12(76)
Qualifying Test (June 1977 - June 1982)
Hours
Grade
Date Passed
A.
Architectural History
2
B.
Structural Technology
3
C.
Materials & Methods of Construction
2
D.
Environmental Control Systems
2
2 (77)
E.
Principle of Site Planning & Architectural Design
1 (78)
(1977-1978)
10 (77)
F.
Design/Site Planning
11 (77)
(1977-1978)
Professional Examination - Section A (June 1979 - June 1982)
Hours
Grade
Date Passed
Design/Site Test
12
Professional Examination - (December 1973 - December 1978) - Section B (1979 - 1982)
Hours
Grade
Date Passed
Part I
Environmental Analysis
4
Part II
Architectural Programming
4
Part III
Design & Technology
4
Part IV
Constructions
4
Professional Examination - A.R.E. (Beginning 1983 or as noted)
Hours
Grade
Date Passed
1997-
1983-
2008
1996
PD
A
Pre-Design
SP
B
Site Planning/Site Design (1983-87)
Bwr
Site Design - Written (1988-96)
Bgr
Site Design - Graphics (1988-96)
C
Building Design
BP
Building Planning
BT
Building Technology
GS
D/F
Structural Technology - General & Long Span (1988-96)
D
Structural Technology - General (1983-89)
LF
E
Structural Technology - Lateral Forces
F
Structural Technology - Long Span (1983-87)
ME
G
Mechanical & Electrical
MM
H
Materials & Methods
CD
I
Construction Documents & Services
ARE 4.0 (Beginning 2008)
Hours
Grade
Date Passed
PPP
Programming, Planning, & Practice
SPD
Site Planning & Design
BDCS
Building Design & Construction Systems
SD
Schematic Design
SS
Structural Systems
BS
Building Systems
CDS
Construction Documents & Services
3
Attestation
I certify that to the best of my knowledge and belief the foregoing is a true statement of the record of the applicant named on this form. I further certify
that, other than those listed above or in attached correspondence, this licensing authority has never taken any disciplinary action against this person and
that, in so far as the licensing authority has knowledge, there have been no charges preferred nor has any information been presented to the licensing
authority relating to any question of unprofessional or immoral conduct except as noted in Section II, question 1.
Signature of Registrar or designee ________________________________________________ Date ________ / _______ / ________
mo.
day
yr.
Print or type name _____________________________________________________________
Title or official position __________________________________________________________
Licensing
Institution ____________________________________________________________________
Authority
Address ____________________________________________________________________
Seal
Telephone __________________________ Fax number ______________________________
E-mail _______________________________________________________________________
Return Directly to: New York State Education Department, Office of the Professions, Division of Professional Licensing Services,
Architecture Unit, 89 Washington Avenue, Albany, NY 12234-1000.
Architect Form 3, Page 2 of 2 (Rev. 8/09)
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