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Award Category(Required) Are You Self Nominating?(Required)
Candidate Information Name(Required)
First
Last
Submitter Information (best point of contact regarding this application)
Name(Required)
First
Last
Additional Candidate Information Provide your name as you wish it to appear on all announcements and notifications.
First Name
Middle Initial
Last Name
Firm Information Provide the firm name as you wish it to appear on all announcements and notifications.
Firm Address(Required)
Has this firm received this award before?(Required) Demographic Information (all demographic information provided is confidential and only used for statistical purposes)
American Indian or Alaska Native Black and African American Native Hawaiian or other Pacific Islander Candidate Summary Statement(Required) Provide a brief 25-35 word statement describing how the firm’s work and culture has demonstrated exceptional leadership and made significant contributions to the architecture profession. A simple statement can sometimes say more than one that is overreaching.
Declarations Resident, Non-licensed Declaration(Required) I affirm that I am a current resident of New Jersey and am not a licensed architect in any jurisdiction.
Current Member in Good Standing Declaration(Required) I affirm that I am a current member of AIA New Jersey in good standing and my dues for this calendar year are paid in full as of the date of this submission.
Unpaid Labor Declaration(Required) I affirm that I do not have unpaid intern architects, including working students and neither does any firm of which I am an owner or manager.
Code of Ethics and Professional Conduct(Required) The AIA stands for universal respect for human dignity and the unbiased treatment of all persons in employment, civic and business transactions regardless of race, physical abilities or religious practices.
I affirm that I uphold this value in all my business practices.
I affirm that I abide by Rules 1.401 and 2.104 of the 2017 Code of Ethics.(Required) Greater Rights, Copyright Notice, Permissions and Indemnifications Acknowledgement(Required) By signing below, I acknowledge that I have read and agree to abide by the Greater Rights, Copyright Notice, and Permission & Indemnifications as stated in Appendix A of this application.
Sponsor Information (if candidate has not self-nominated)
Name
First
Last
Current Member in Good Standing Declaration(Required) I affirm that I am a current member of AIA New Jersey in good standing and my dues for this calendar year are paid in full as of the date of this submission.
Unpaid Labor Declaration(Required) I affirm that I do not have unpaid intern architects, including working students and neither does any firm of which I am an owner or manager.
Code of Ethics and Professional Conduct(Required) The AIA stands for universal respect for human dignity and the unbiased treatment of all persons in employment, civic and business transactions regardless of race, physical abilities or religious practices.
I affirm that I uphold this value in all my business practices.
I affirm that I abide by Rules 1.401 and 2.104 of the 2017 Code of Ethics.(Required)
Submission Materials for Jury Review Submission Materials(Required) The Nomination letter, bio/leadership credentials, summary & exhibits is to be combined into one PDF (16 pages max).
First Reference Letter(Required)
Second Reference Letter(Required)
Announcement Images Provide a zipped folder containing the following landscape .jpeg image files, 3200 pixels wide x 1800 pixels tall and a minimum of 72 dpi. Should your image not meet these qualifications it will not be displayed by AIANJ.
(1) One black and white photograph of the candidate
(3) Three images from your application that showcase the candidate’s service to the profession
Copyright image page(s) as described in Appendix A
Appendix A Release Form(Required) Information and illustrations for any project receiving an award or chosen for inclusion in any award citation will be taken from the information and materials submitted by the Entrant. There may be no further communication with an entrant prior to the announcement of an award. Accuracy, therefore, is essential. BY MAKING A SUBMISSION, THE ENTRANT AGREES THAT THE INFORMATION CONTAINED IN ITS CONCEALED IDENTIFICATION FORM AND ANY OTHER INFORMATION OR MATERIALS SUBMITTED BY THE ENTRANT ARE COMPLETE AND ACCURATE. THE ENTRANT FURTHER AGREES THAT IT SHALL INDEMNIFY AND HOLD HARMLESS The New Jersey Society of Architects, a Chapter of the American Institute of Architects, ('AIANJ') FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF THE USE OF ANY INFORMATION OR OTHER MATERIALS SUPPLIED BY THE ENTRANT. ALL ERRORS OR OMISSIONS ARE THE SOLE RESPONSIBILITY OF THE ENTRANT.
The entrant further certifies that entrant has obtained all permissions necessary to permit AIANJ to publish, without financial or other obligation, any information, photograph or other materials submitted by the Entrant, including any permissions required from any individual, architect, contractor, owner or photographer, and such grant will include the necessary permissions to include the same in the AIANJ's designated periodical(s) for purposes of any announcements for this awards program. The Entrant certifies that the AIANJ is authorized to use all such materials as they deem appropriate in connection with this awards program, including publicizing the program itself.
I have read and agree to the release form
Greater Rights(Required) For good and valuable consideration, the exchange of which is hereby acknowledged, I grant The New Jersey Society of Architects, a Chapter of the American Institute of Architects, ('AIANJ') a non-exclusive license to use my copyrighted Work, including any text, brochures, drawings, photographs, graphics, plans, slides, books, transparencies or other copyrightable material, (the “Work”) identified on this form and submitted in connection with this submission as follows.
This license shall permit limited rights to use, reproduce, crop or resize, publicly display, distribute and transmit worldwide the Work during the full term of the copyright in all media, now known or hereafter devised, including the internet, without payment of any royalty or license fee, as follows:
● in connection with the announcement of any awards under the awards program and the promotion of the awards program itself
● in connection with efforts to educate architects through different media, in which AIANJ members, only, have access to view the Work; provided, however, that AIANJ shall implement reasonable technological measures to ensure that access is limited to AIANJ members, shall provide written notice accompanying each access to the Work specifying the conditions under which the Works may be used and that any other use requires additional permissions from me, and shall provide the written contact information supplied below so that the AIANJ member can contact me for permission for further use
● This license applies when the entrant has not secured greater rights to copyrighted material by a license or other agreement. If the entrant has previously secured greater rights to the copyrighted material, please select 'Entrant has secured greater rights to copyrighted material' below.
2023 AIA New Jersey Service Award
-APPENDIX A continued-
Copyright Credit and Contact Information
Typically, credit refers to who took the photograph. Contact information should be for the person who owns the Copyright Credit.
Copyright Notice and Contact Information
Typically, copyright notice refers to who owns the rights to the images. Contact information should be for the person who owns the copyright notice.
Copyrighted Work
List copyrighted work (e.g. text, brochures, drawings, photographs, graphics, plans, slides, books, transparencies, or other copyrightable material) including copyright owner Information. If this does not apply to your submission, check the appropriate box in the award application on page 2.
Copyright Image Page
Please provide a .pdf file showing the appropriate copyright credits to be identified with all images being included in the submission including the announcement images. The pdf MUST have a thumbnail of the image with the copyright credits of the photographer and also a caption of each photo.
Permissions and Indemnifications
By submitting this Copyright Permission Form for Textual and Visual Works, I represent that I have obtained all permissions that I believe are necessary to grant the limited rights granted by this Form and that the use or reproduction of the Work by AIANJ as permitted by this Permission Form shall not, to the best of my knowledge, information and belief, infringe or violate any other person’s copyrights. I AGREE TO INDEMNIFY AND HOLD HARMLESS AIANJ FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF ANY BREACH OF THESE REPRESENTATIONS. AIA AGREES TO INDEMNIFY ME AND HOLD ME HARMLESS FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF ITS USE OF THE WORK.
I have read and agree to Greater Rights
Consent(Required) By submitting this application, a consent to AIA NJ posting this application on their website and/or releasing it to prospective future applicants upon request. I understand letters of support will not be released in either scenario described in the above.(Required)