National Kitchen & Bath Association
687 Willow Grove Street
Hackettstown NJ 077840
(800) THE-NKBA (1-800 843-6522)
Fax: (908) 852-1695
NKBA Accredited Program – Graduation Verification Form
The Accredited Program Coordinator reviews, signs and submits the NKBA Accredited Program
– Graduation Verification Form for each graduate who presents evidence of mastery of the
educational requirements for a kitchen/bath design accredited program, including successful
completion of a kitchen/bath industry 160-hour internship. Submit forms to the NKBA within 3
months of the graduation date.
Upon receipt and review of this completed form, the NKBA sends a Recognition of Achievement
certificate and letter to the graduate and a copy to the Program Coordinator. The graduate also
receives an AKBD Application Fee Waiver coupon via e-mail.
General Information
Today’s Date:
Graduate’s Name:
Graduation Date:
Degree Earned:
NKBA Accredited School:
Graduate’s NKBA Member #:
Graduate’s Permanent Address
Street:
City, State, ZIP:
Preferred e-Mail:
Phone:
Cell Phone:
Program Coordinator:
Title:
Length of Program:
Completed Internship Information
Internship Company Name:
NKBA Member: ☐Yes ☐No
Street:
City, State, ZIP:
Dates Served (MM/DD/YY) From and To:
Company Contact:
Revised 2013
Phone:
National Kitchen & Bath Association
687 Willow Grove Street
Hackettstown NJ 077840
(800) THE-NKBA (1-800 843-6522)
Fax: (908) 852-1695
e-Mail:
Description of internship tasks and results:
What was the lead to the internship? (NKBA Website, classified ad, Internet lead, school lead,
personal contact, other-explain)
Did the internship lead to full-time
employment? ☐Yes ☐No
Will the graduate be working in the kitchen and
bath industry? ☐Yes ☐No
When does the graduate plan to sit for the AKBD exam?
Full-Time Employment Information
Company:
Street:
City, State, ZIP:
Contact:
Phone:
e-Mail:
Employment Start Date:
__________________________________
Print Graduate’s Name
__________________________________
_____________________________
Graduate’s Signature
Date
My signature below certifies the above-named graduate completed the 160-hour internship
program required by the NKBA and completed all NKBA requirements to maintain NKBA
Accredited Program requirements.
__________________________________
_______________________________
Program Coordinator’s Signature
Date
Revised 2013