Uploaded by Dabin Lee

2022 RIBA Student Membership Application form

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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;
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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
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Prefer not to say
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