a completed Verification of Interior Designer Examination and Certification Form to provide evidence of having passed the NCIDQ Examination.

Similar documents
PRELIMINARY - PENDING APPROVAL

Pennsylvania State Registration Board for Professional Engineers, Land Surveyors and Geologists

RENEW or UPGRADE APPLICATION CAREER AND TECHNICAL TRADE AND INDUSTRIAL EDUCATION (CTTIE) CERTIFICATE

Global Communication Certification Council Communication Management Professional Certification Application

APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. APPLICATION REQUIREMENTS

STRATEGIC COMMUNICATION MANAGEMENT PROFESSIONAL CERTIFICATION

GUARDIAN PROFESSIONAL SECURITY

CERTIFIED ASSOCIATION EXECUTIVE APPLICATION

REQUIREMENT CHECKLIST FOR ATHLETIC TRAINER REGISTRATION/REACTIVATION

NATIONAL ASSOCIATION OF LEGAL INVESTIGATORS, INC. Certified Legal Investigator EXAMINATION APPLICATION

WEST VIRGINIA BOARD OF PHYSICAL THERAPY 101 Dee Drive Charleston, West Virginia Telephone: (304) Fax: (304)

CLTC RE-CERTIFICATION Candidate Information & Application

Reinstatement Information Packet

APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing.

Requirements for NCOWCICB certification with Business Succession Exemption Please read and follow carefully.

TEACHING Credential PROGRAM APPLICATION FALL 2005 Priority Filing Deadline: March 15, 2005 Final Filing Deadline: April 19, 2005

Fax. Pre-Employment. Please list all areas (City, State) that you are applying for position: Please select which position you are applying:

Version No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018. CEA Exam with Live In-House Seminar Version

Certified Professional Patient Navigator (CPPN)

Certified Behavioral Health Case Manager Supervisor (CBHCMS)

Application and Instructions for Firms

Certified Recovery Peer Advocate Application

State of Florida Department of Business and Professional Regulation Board of Accountancy CPA Change of Status Application Form # DBPR CPA 7

COMPLETE THE ATTACHED APPLICATION ON YOUR COMPUTER,

Certified Recovery Peer Advocate Application

Version No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018

Certification Requirements and Application Procedures for Persons and Firms.

Instructions Please read and follow carefully. KEEP THIS PAGE FOR YOUR REFERENCE

SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 902

Architect Registration in Arizona

Pennsylvania Certification by Endorsement

Certified Recovery Peer Advocate-Provisional Application

APPLICATION FOR RE-CERTIFICATION IN ELDER LAW

APPLICATION FOR PRIOR LEARNING AND RECOGNITION (PLAR)

2018 Florida Exam Schedule

Biosolids Land Appliers Certification

CCST Examination Application

CPA Exam and Licensure Information and FAQs

2017 Florida exam schedule

Certified Behavioral Health Case Manager (CBHCM)

National Association of Construction Auditors Instructions

INDIVIDUAL DELINQUENT RENEWAL FORM ONLINE/HARD COPY INSTRUCTIONS:

Union Bank s NMLS REGISTRATION GUIDE. PREVIOUSLY REGISTERED Mortgage Loan Originator (MLO)

APPLICATION Backflow Prevention Assembly Tester

Please read all information and instructions before completing the application form.

First Responder Recertification Application

CPA REQUIREMENTS OVERVIEW. BILL DRESNACK, ACCOUNTING CHAIR October 6, 2017

CERTIFIED ASSOCIATION EXECUTIVE RENEWAL APPLICATION

APPLICATION FOR CERTIFICATE OF QUALIFICATION

Reciprocity Program Package

County of Louisa Department Of Fire and EMS

California Code of Regulations TITLE 21. PUBLIC WORKS DIVISION 1. DEPARTMENT OF GENERAL SERVICES CHAPTER 1. OFFICE OF THE STATE ARCHITECT

Transition for California Code Certifications for Current Certificate Holders

CAP Examination Application

EXCEL HEALTHCARE STAFFING AND REFERRAL AGENCY

Instructions and Certification Application

TRANSFER APPLICATION FOR GEORGIA CERTIFICATION Georgia Certified Alcohol and Drug Counselor Levels I, II and III

CPRC Renewal Changes

Certification Commission of NAMSS Policies and Procedures

NATIONAL REGISTRY OF CERTIFIED CHEMISTS 125 Rose Ann Lane, West Grove, PA (phone) / (fax) /

APPLICATION FOR RECERTIFICATION EMERGENCY MEDICAL TECHNICIAN II / / 2. MAILING ADDRESS: 7. HOME PHONE NUMBER:

STATE OF UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING RADIOLOGY PRACTICAL TECHNICIAN EXAMINATIONS CANDIDATE INFORMATION BULLETIN

D.GE Application April 2012

Council of Colleges of Acupuncture and Oriental Medicine Clean Needle Technique Course Application Packet September 7, 2019, Hong Kong

Certified Assessor. Application for COBIT Certified Assessor

Medication Assisted Treatment Specialist Application

APPLICATION DEADLINES

HOW TO OBTAIN A QUALIFYING PARTY CERTIFICATE

ADULT VOLUNTEER SERVICES APPLICATION

American Naturopathic Medical Certification Board COMMISSION ON CERTIFICATION APPLICATION PACKET

IV. CBP Certified Building Professional Application

APPLICATION FOR PRIOR LEARNING AND RECOGNITION (PLAR) For Internationally Educated Professionals

Municipal Law Enforcement Officer Certified-M.L.E.O. (c) Certification Application Guide

Candidate Handbook Certified Commissioning Firm (CCF) Program

CCS Renewal Changes. Page 1 of 6

State Board for Certification of Water and Wastewater Systems Operators. Operator Certification Program Guidelines

NICET Technologist Application Instructions

Municipal Law Enforcement Officer Certified-M.L.E.O. (c) Certification Application Guide Program Features

NETA Certification Board Recertification Handbook, Application & CEC Petition Form. Recertification Handbook

INSTRUCTOR CERTIFICATION PROGRAM

Orange County EMT Accreditation Application

Application for Certification

Certified Addiction Recovery Coach Application

Washington State Construction Crane Certifier Program

LANDER COUNTY SCHOOL DISTRICT P.O. Box Weaver Avenue Battle Mountain, Nevada PH: (775) FAX: (775)

EDUCATOR. Certified. to know to become a. What you need. in Florida. General Certification. Requirements for. Individuals Applying

Candidate Manual Certified Commissioning Firm (CCF) Program

STEEL FABRICATOR REGISTRATION PROGRAM

Waste Transportation Safety Program. New and Renewal Act 90 Authorization Online Greenport Application Instructions.

Application Procedures for Additional Endorsement to a Michigan Teaching Certificate and/or Standard Career & Technical Education (CTE) Certificate

Certified Energy Manager Instructions & Application CEM Exam with Live Seminar International Version

APPLICATION FOR ADDING KENTUCKY CERTIFICATION, ENDORSEMENT, OR EXTENSION (HIGHLY QUALIFIED PROVISION)

ACADC Renewal Changes

TITLE 595. DEPARTMENT OF PUBLIC SAFETY CHAPTER 10. CLASS D DRIVER LICENSES AND IDENTIFICATION CARDS AND MOTOR LICENSE AGENT PROCEDURES

Certification Guidelines: Credential Standards and Requirements Table

National Examining Board of Ocularists 2050 Keokuk St., NEBO Suite Iowa City, IA ( 319) Fax: (319)

So You Want to be a Taxi/Limousine Driver The following steps must be completed

Certified Welding Supervisor Program

HOW TO COMPLETE YOUR ONLINE BACKGROUND CHECK SUBMISSION

Oregon Clinical Radiologic Proficiency Certificate: Pathway II 2017 Certificate Application This application will be accepted through Dec. 31, 2017.

Transcription:

Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, Virginia 23233-1485 (804) 367-8506 www.dpor.virginia.gov BOARD FOR ARCHITECTS, PROFESSIONAL ENGINEERS, LAND SURVEYORS, CERTIFIED INTERIOR DESIGNERS AND LANDSCAPE ARCHITECTS Interior Designers Information Sheet All applicants must meet the current eligibility requirements at the time the completed application package is received at the Board office. Completed application packages must include all required documentation, references, verifications, and fees. All forms must be legible. It is the applicant's responsibility to ensure the Virginia Board receives the completed package prior to the established deadline. Submission of applications just prior to the deadline date may result in late notification of eligibility to sit for the scheduled examination. Review of incomplete applications and applications received after the examination application deadline will be deferred to the next examination cycle. EXAMINATION ON BOARD REGULATIONS & STATUTES Applicants for licensure or certification are required to read and understand the Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects Regulations prior to applying for licensure or certification. Pursuant to Regulation 18VAC10-20-85, all applicants for licensure or certification must achieve a passing score on a Boardsupplied examination pertaining to the Board's regulations and relevant statutes. After your application is received in the Board office, you will be sent an examination, which you are required to complete and return to the Board office for scoring; you will be notified if you do not achieve a passing score on this examination. NCIDQ EXAMINATION In order to qualify for certification as an Interior Designer in Virginia, an applicant must first pass the NCIDQ Examination. If you have already passed the NCIDQ Examination, NCIDQ must provide verification to the Board office. If you have not passed the NCIDQ Examination, an application for examination may be obtained from their office at (202) 721-0220. REQUIRED DOCUMENTATION Applicants for Initial Certification a completed Interior Designer Certification Application and fee; completed Interior Designer Degree Verification Form(s); completed Interior Designer Experience Verification Form(s); and a completed Verification of Interior Designer Examination and Certification Form to provide evidence of having passed the NCIDQ Examination. Comity Applicants (for those who have been licensed in another state, jurisdiction or territory of the United States) a completed Interior Designer Certification Application and fee; completed Interior Designer Degree Verification Form(s); completed Interior Designer Experience Verification Form(s); and a completed Verification of Interior Designer Examination and Certification Form to provide evidence of having passed the NCIDQ Examination and verification of current certification in another jurisdiction. Reinstatement Applicants (for those whose licenses expired 5 or more years ago) a completed Interior Designer Certification Application and reinstatement fee; and completed Interior Designer Experience Verification Form(s) to document experience from the date of expiration of the certificate to the present. 07/01/2018 Page 1 of 6

EDUCATION An Interior Designer Degree Verification Form is provided for all applicants. At a minimum, all applicants must hold a four-year professional degree from an institution accredited by the Council for Interior Design Accreditation (CIDA or other equivalent accrediting organization); a professional degree in architecture obtained by completing an NAAB-approved curriculum; or a professional program approved by the Board. The definition of "a professional program approved by the Board" is provided in Regulation 18VAC10-20-460. EXPERIENCE A minimum of two years of monitored experience must be documented on Interior Designer Experience Verification Form(s). Any experience verified on forms other than those provided by the Department of Professional and Occupational Regulation will not be considered. Resumes are not acceptable. A separate Experience Verification Form should be completed for each employment engagement. credit is allowed for non-verified employment. Credit will only be given for full-time work experience (minimum of 35 hours per week) under the supervision of a certified or licensed interior designer, architect or professional engineer. Experience gained under the supervision of a professional engineer shall be reduced by 50 percent with a maximum of six months. TOEFLiBT (formerly known as TOEFL & TSE) Applicants for licensure must be able to speak and write English to the satisfaction of the Board. Applicants from a non-english speaking country or a country where the primary language is not English, who have not graduated from a college or university in which English is the language of instruction, shall submit to the Board a TOEFLiBT (Test of English as a Foreign Language) score report that reflects a score acceptable to the Board. Score reports shall not be more than two years old at the time of application. VERIFICATION OF LICENSURE, CERTIFICATION OR REGISTRATION All applicants for certification by comity must meet Virginia eligibility requirements in effect at the time of application. A Verification of Interior Designer Examination and Certification Form is provided for the verification of out of state exams and/or certification. Any person licensed or certified in another state must submit a verification form to document their good standing in the jurisdiction. It is the applicant's responsibility to ensure that the Virginia Board receives the verification along with other supporting documents as noted in these instructions. 08/01/2013 Page 2 of 6

Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, Virginia 23233-1485 (804) 367-8506 www.dpor.virginia.gov Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects INTERIOR DESIGNER CERTIFICATE APPLICATION A check or money order payable to the TREASURER OF VIRGINIA, or a completed credit card insert must be mailed with your application package. APPLICATION FEES ARE NOT REFUNDABLE. All applicants are required to read and understand the Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects Regulations available at: www.dpor.virginia.gov prior to applying for licensure. Select the one method by which you are applying for a Virginia Interior Designer Certificate. Method of Certification Trans Fee Initial certification by examination 1020 $45.00 By comity 1021 $45.00 Reinstatement of VA Interior Designer Cert.. 0 4 1 2 that expired 5 or more years ago 4020 $295.00 #. Full Legal Name (As it appears on your government issued ID or other legal documentation.) 2. Last (required) First (required) Middle Generation Provide at least one of the following identification numbers : Social Security Number and/or Virginia DMV Control Number - - Enter the same identification number as used on examination, previous applications or licenses on file with the department. State law requires every applicant for a license, certificate, registration or other authorization to engage in a business, trade, profession or occupation issued by the Commonwealth to provide a social security number or a control number issued by the Virginia Department of Motor Vehicles. 3. Date of Birth #. Maiden or Former Name(s) MM/DD/YYYY 5. Mailing Address (PO Box accepted) The mailing address will be printed on the license. 6. Street Address (PO Box not accepted) PHYSICAL ADDRESS REQUIRED City State Zip Code Check here if Street Address is the same as the Mailing Address listed above. City State Zip Code If you are using your business address, please include business name, full street address and any floor or suite numbers. #. Contact Numbers #. OFFICE USE ONLY Email Address Primary Telephone Alternate Telephone Fax DATE FEE TRANS CODE ENTITY # FILE #/LICENSE # ISSUE DATE 0412 07/01/2018 Page 3 of 6

8. Education Institution Email address is considered a public record and will be disclosed upon request from a third party. CIDA Accredited? Degree (BS, BA...) Major MM/YY Completed Bachelors Yes Masters Yes Ph.D. Yes All applicants must hold one of the following: 1. A four-year degree from an institution accredited by the Council for Interior Design Accreditation (CIDA); 2. A professional degree in architecture obtained by completing an NAAB-approved curriculum; or 3. Completion of a "professional program approved by the Board," meaning a four-year degree in an interior design program or a master's degree in interior design combined with a four-year degree which has been evaluated and is deemed by the Board to be substantially equivalent (at the time of the applicant's graduation) to a four-year interior design degree program accredited by CIDA. 9. Are you applying through comity? Yes If yes, list all your current interior designer licenses, certifications and registrations in the following table. Attach a Verification of Examination and Licensure Form from each jurisdiction in which you passed the NCIDQ exam or currently hold an interior designer license, certification or registration. State/Jurisdiction Did you pass the NCIDQ exam? License, Certification or Registration Number Expiration Date Yes Yes Yes 10. Have you ever been subject to a disciplinary action taken by any (including Virginia) local, state or national regulatory body? Yes If yes, complete the Disciplinary Action Reporting Form. #. A. Have you ever been convicted or found guilty, regardless of the manner of adjudication, in any jurisdiction of the United States of any felony? Any plea of nolo contendere shall be considered a conviction. Yes If yes, complete the Criminal Conviction Reporting Form. B. Have you ever been convicted or found guilty, regardless of the manner of adjudication, in any jurisdiction of the United States of a misdemeanor in the last 10 years? Any plea of nolo contendere shall be considered a conviction. Yes If yes, complete the Criminal Conviction Reporting Form. 07/01/2018 Page 4 of 6

#. By signing this application, I certify the following statements: I am aware that submitting false information or omitting pertinent or material information in connection with this application will delay processing and may lead to license revocation or denial of license. I will notify the Board of any changes to the information provided in this application prior to receiving the requested license, certification, or registration including, but not limited to any disciplinary action or conviction of a felony or misdemeanor (in any jurisdiction). I authorize the Department to verify information concerning me or any statement in this application from any person, or any source the department may contact. I also agree to present any credentials or documents required or requested by the Department. I authorize any federal, state or local government agency, current or former employer, or other individual or business to release information which may be required for a background investigation. I have read, understand and complied with all the laws of Virginia related to this profession under the provisions of Title 54.1, Chapter 4, of the Code of Virginia and the Virginia Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects Regulations. Signature Date 07/01/2018 Page 5 of 6

INTERIOR DESIGNER REVIEW SUMMARY SHEET Applicant's Name Social Security. Review Date Board Member Initials BOARD REVIEW - For Office Use Only Comments APPROVED Initial Certification Comity with Reinstatement Board Member Initials & Date 07/01/2018 Page 6 of 6