RIBA Student Membership How to apply Paper: Fill in, scan and return this application form to membership.development@riba.org Please note that you will need your ‘student registration number’, which can be found on the front of your student ID card (or obtained from the University registry.) Online: 1. Visit www.architecture.com/join-riba/free-student-membership to join as a FREE student member 2. Select ‘Join online today’ 3. Follow the instructions to create an online account and register for RIBA Student Membership If for any reason you don’t receive confirmation, please contact us to follow up on membership.development@riba.org or by calling 0207 307 3686. Student Membership Your personal details Employment details Surname Practice details (if employed) Title: Mr / Ms / Etc. Practice name Forename/s Job Title Male Female Date of birth D D Prefer not to say Other M M Y Y Y Address Y Zip/Postcode Country Tel/mobile Office email address Home/private details Important – would you like to be contacted at: Address Home Work Is this job permanent or a short term placement? Postcode Tel/mobile Primary email Secondary email (optional) Continued overleaf. Page 1 of 3 Country Permanent Placement Your course details Part 1 Course Course head/tutor Course start date (dd/mm/yyyy) University Course end date (dd/mm/yyyy) Part 2 Course Course head/tutor Course start date (dd/mm/yyyy) University Course end date (dd/mm/yyyy) Sign the declaration I, the undersigned, desire to be admitted as a Student Member of the Royal Institute of British Architects and declare that the information supplied herewith is true in every respect. I undertake to adhere to the RIBA Code of Professional Conduct, Regulations, and Charter & Bylaws throughout my membership of the RIBA*. I understand that Student Membership does not entitle me to use the letters RIBA after my name. Signature Email and communication preferences I want emails from the RIBA with useful advice, guidance, information, updates, CPD and events. I want emails about RIBA products and services (including books and publications, jobs, careers and recruitment, professional events, business services, venue hire). I want emails from NBS, the commercial knowledge management business of the RIBA including RIBA CPD Providers Network, RIBA Product Selector and NBS products and services. *The RIBA Code of Professional Conduct, Regulations and Charter & Bylaws are subject to change and are available for members to view online or a hard copy is available on request. Date Note: RIBA Membership does not grant registration or licence to practice as an architect in the UK. To practice, use the title or RIBA affix, you must be registered with the Architects Registration Board (ARB). As part of our compliance obligations, the RIBA would like to share the following information with you: The registered office of the RIBA is 66 Portland Place, London W1B 1AD; You may contact us at info@riba.org or +44(0)20 7580 5533; We wish to process your data for the purpose of administering your membership and disseminating architectural information we believe you might be interested in, based on prior contact with you; Page 2 of 3 We will keep your data secure; We will only keep your data for as long as required for this purpose and you can “unsubscribe” from further contact at any time; Our full privacy policy can be found at www.architecture.com/about/privacy-policy. If you have any concerns about how we process your data please email DPO@RIBA. org in the first instance. Student Membership Why do we ask for this? We try our best to monitor the diversity of our membership, as part of our dedication to making architecture a more inclusive profession. Disability Do you require any workplace adjustments in order to do your job? If so, how can we help? Yes Race and Ethnicity No Prefer not to say Please advise how we can help Arab White: English/Welsh/Scottish/Northern Irish/British White: Gypsy or Irish Traveller Do you have a long-term health condition? This includes, for example, diabetes, arthritis, cancer, HIV, dyslexia and depression. White: Irish Yes White: Other White No Prefer not to say Please advise how we can help Asian/Asian British: Bangladeshi Asian/Asian British: Chinese Asian/Asian British: Indian Is UK Sign Language your first or preferred language? Yes Asian/Asian British: Other Asian Asian/Asian British: Pakistani No Prefer not to say Sexual Orientation Black/African/Caribbean/Black British: African Bisexual Gay Man Black/African/Caribbean/Black British: Caribbean Gay Woman/Lesbian Heterosexual/Straight Black/African/Caribbean/Black British: Other Black Other Prefer not to say Mixed/multiple ethnic groups: Other Mixed Age Mixed/multiple ethnic groups: White & Asian 24 or younger 25-29 30-34 Mixed/multiple ethnic groups: White & Black African 35-39 40-44 45-49 Mixed/multiple ethnic groups: White & Black Caribbean 50-54 55-59 60-64 Multiple ethnic groups (e.g. Black Caribbean and White, Chinese and White, etc.) 6 5+ Prefer not to say Gender Religion/Faith/Belief Female Atheist Buddhist Christian Hindu Humanist Jain Jewish Muslim Taoist Free Thinker Sikh Zoroastrian Prefer not to say Male Gender identity Identifies or has identified as Transgender, Trans* or a gender other than the gender assigned at birth. Yes No Prefer to use my own term Other: please advise which religion/faith/belief Prefer not to say Page 3 of 3 Prefer not to say