Assets To Add Today
 www.NationalArchitectCorporation.com 
 Home      About          Help          Contact          Register or Login
Register Faculty Affiliates
LOGIN (if already a subscriber)
>Lgoin or Subscribe To The National Architect
Corporation As a Faculty Affiliate
>
REGISTRATION FORM:  FACULTY AFFILIATES

Please read the Terms of your subscription with the National Architect Corporation, and our Privacy Policy. Your payment of subscription fee is your acknowledgment that you have read the policies and concur with them.



Your Name: ___________________________   Date of Birth: __ __ ____
Male or Female (optional):  M  F                    Mr. Ms. Mrs. Dr. (optional)
Street Address, City, State, Zip: _________________________________
Phone:(   ) ___ ____ Fax: (   ) ___ ____ email:______________________                      
Web site address: if you have one: _______________________________
Professionally Licensed Field(s), with State and number:
          
Specializations(s): (List all)


Will you buy and sell services through the National Architect? Yes__No__

Do you feel you will increase your value through active Affiliation?   Yes __  No___

Name of your University/School?                            

Do you do Research?  Yes __ No___ 
Interested in Potential Applied Research Topics/Projects?
                   Yes __ No__
Interested in Consultation outside Academic Responsibilities?                         Yes__No  What Skills:
          Hourly Rate Range:
Would you mentor undergraduate or graduate students we help place in internships?      Yes __ No__

Please send your resume via email.

          Please list three professional references with full
          contact information.
 
               Contact 1:(name, address, phone, email)

               Contact 2:(name, address, phone, email)

               Contact 3:(name, address, phone, email)
 

Why do you want to affiliate with the National Architect?



What will you bring to the National Architect which is unqiue?



What issues do you find most challenging, and really want to solve?



Annual Subscription Fee:     (add to cart)




copyright, National Architect Corporation, 16 September, 2014
REGISTRATION FORM:  DONOR AFFILIATES