Designated Professional Application and Payment Form

Effective September 1, 2014, all projects being registered under Version 2 of the FGBC Green High-Rise Residential Building Standard can only be submitted by an approved FGBC High-Rise Designated Professional.

In order to improve overall quality of High-Rise Designated Professionals and to ensure their understanding of the FGBC Green High-Rise Residential Building Standard requirements, applicants must pass an exam administered by the Florida Green Building Coalition and receive a grade of 80 or above to earn accreditation prior to submitting a project initial registration.

To become an FGBC Designated Professional use this form to register and process your payment. Once payment has been processed, FGBC will send you a link to the online exam.

Cost: $50

Are you currently a member of FGBC? *

FGBC Member #:

Full Name *

Prefix First Name Last Name

Nickname

Title/Occupation

Company

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

Cell Number

- Area Code Phone Number

E-mail *

Website

AFFIDAVIT

By Submitting this form I have agreed to the following:

I have read and understand all provisions set forth in the Florida Green High-Rise Residential Building Standard. I agree to comply with all such provisions and understand that the provisions may change as time progresses. I pledge to maintain a working knowledge of the Florida Green High-Rise Residential Building Standard and the documents used for certification, including Florida Green High-Rise Residential Building Standard Polices, Checklist and Reference Guide.

Payment Information

Designated Professional Exam Fee $ 50.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

FGBC Designated Professional Application & Payment Form