Allied Membership Reference
Name of the Company or Individual applying for AIA CT Allied membership
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Reference Name
*
First Name
Last Name
Reference Firm/Company
*
Reference Email
*
example@example.com
Reference AIA Number
*
Reference must be an AIA Member
Questionnaire
The following responses will be held in the strictest confidence.
How do you know the prospective member/company?
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How long have you known them?
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Have you worked with them? If so, in what capacity?
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What projects have you worked on with them? Were they professional?
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Please describe your business relationship.
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Is there any conflict with them being an AIA Connecticut Allied Member? If so, what?
*
Is there anything else that you would like to add for the Board's consideration?
*
Please sign
*
Today's date
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: