SHPO DIRECTORY APPLICATION
HISTORIC ARCHITECTURE
1. Applicant:
Name:
Firm:
Address:
City:
State:
Phone number:
E-mail:
Zip:
2. License:
A Current New
Mexico Architectural
License
Date of License:
AND
2 Years of Full-Time Professional Experience as an
Architect Including 12 Months of This Experience in New
Mexico.
AND
12 Hours of Coursework in
Architectural Preservation
Architectural History
Historic Preservation
Historic Preservation
Planning
(provide copies of transcripts
showing your coursework.)
AND
2 Years of Full-Time
Professional Applying the
Theories, Methods and Practices
of Historic Architecture Including
12 Months of This Experience in
New Mexico.
AND
12 Hours of Coursework in
Architectural Preservation
Architectural History
Historic Preservation
Historic Preservation
Planning
(provide copies of transcripts
showing your coursework.)
AND
3 Years of Full-Time
Professional Applying the
Theories, Methods and Practices
of Historic Architecture Including
12 Months of This Experience in
New Mexico.
3. Education:
Graduate Degree in:
Architecture
OR
Bachelors Degree in:
Architecture
3. Work Samples:
Provide the following examples of your experience documenting architectural resources.
(Please extract these items from the larger body of work (no more than ten pages), but
include the title page and bibliography).
A sample of plans, drawings, or elevations prepared for a historic restoration or
rehabilitation project.
A copy of a Historic Structures Report or similar document assessing the
historical significance of a structure and providing recommendations for treatment.
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May 4, 2006
4. Summary of Qualifications Statement:
Provide a short statement on how your combined education and experience meet the
above requirements for Historic Architecture:
5. Required attachments:
This application will be considered incomplete without the following attachments and will
not be forwarded to the CPRC for their consideration of your application.
Curriculum vitae
Official transcripts OR
Copy of transcripts showing coursework AND
Notarized diploma for verification of highest degree
Work Samples
I certify that all the information provided by me in connection with this form is true and
complete, and I understand that any misstatement, falsification, or omission of
information may be grounds for removal from the SHPO Directory.
This form must be signed and dated.
_________________________________________
Signature – Applicant
______________
Date
Please send completed form with your CV, official transcripts or notarized copy of
diploma and work samples to:
SHPO Directory Evaluation
New Mexico Historic Preservation Division
Bataan Memorial Building
407 Galisteo Street, Suite 236
Santa Fe NM, 87501
2
May 4, 2006