Landscape Architect Candidate Application

              M E M O R A N D U M
To: All L.A.R.E. Candidates
From: Jean Williams, Executive Director
Oklahoma Board of Architecture
Re: Procedures for filing L.A.R.E. applications
Enclosed is an application and employment reference forms for your use in applying for
the Landscape Architecture Registration Examination. Oklahoma requires three (3) years
of acceptable training. The references are uesd to verify and evaluate your training
requirements. Please complete the top half of each form, including the number of hours
completed in each training category. Send one form to your present and past employers,
each of who needs to fill in the bottom half and RETURN IT DIRECTLY TO THIS
OFFICE. Additionally, you need to attach a 2" x 3" photo to the application,. Also needed
is an OFFICIAL transcript sent directly to this office. Copies issued to the student are not
accepted.
You will need to submit a check in the amount of $50.00 for the application fee with your
application. Checks are payable to: the Oklahoma Board of Architects. ANY
APPLICATION RECEIVED BY THE BOARD WITHOUT THE APPLICATION FEE
STATED ABOVE WILL NOT BE PROCESSED. Ipnlceotem appliactions are
automatically withdrawn one year after submission. Complete applications will remain
on file in the Board office fortw o years or as ol ng as they remain active. After two
years of inactive status, you will be required to reapply. You must be Board approved
before you can begin testing.
If you have any questions, please contact this office.
The State of Oklahoma
Page 1
THE BOARD OF GOVERNORS OF THE LICENSED
ARCHITECTS, LANDSCAPE ARCHITECTS AND
REGISTERED INTERIOR DESIGNERS OF OKLAHOMA
PO Box 53430
Oklahoma City, OK 73152
(405) 949-2383
Application for Candidate Landscape Architect registration
Email address Social Security Number - - .
Name in Full Date
Firm Name
Street
City State Zip
Business
Address
Telephone
Street
Residence City State Zip
Address
Telephone
Address for Correspondence □ Residence □ Business
Citizenship □ Birth □ Naturalization
Birth Date Birth Place
I hereby apply for registration and license to practice landscape architecture by the following method:
□ By written examination.
Duration of residency in
State Years Months
□ By reciprocal Registration.
Have you ever been convicted of a felony? □ Yes □ No
If yes, give details. (Attach a separate sheet if necessary)
Have you ever been registered in Oklahoma? □ Yes □ No
If yes, my registration number was:
The State of Oklahoma
Page 2
Name in Full
Dates of
Preparatory Schools, High Schools Attendance
From To
Grades Completed
Dates of
Colleges, Universities, Technical Schools Attendance
Attach Original Transcript From To
Degrees
Travel, Continuing Education, Research, Publications
A. Educational
Background
Name three landscape architects who are personally acquainted with your
professional abilities. Give complete addresses.
DO NOT list present employers, fellow employees, present partners or relatives.
Name/Address
Name/Address
B. Landscape
Architect
References
Name/Address
The State of Oklahoma
Page 3
Name in Full
C. Practical Experience
Total Time
Full name and complete Employed Check Appropriate Experiences
current address of employer
(Begin with first employer
and include military and
others)
(Please list part-time & full-time
separately)
Dates of
Employment
Give Month,
Day and Year
Part
Time
*
Full
Time
General practice
of architecture
Teaching and
research
Public service
Other – Explain **
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
From Yrs. Yrs.
To Mos. Mos.
*If part-time work is noted, state average number of hours per week. ** If “other” kinds of work are noted, describe.
The State of Oklahoma
Page 4
Name in Full
D. Affidavit and Notarization
I swear that neither I nor a firm, association, corporation or partnership, which I am affiliated with, have performed or contracted to
perform landscape architectural services of any kind prior to the Board of Governors of the Licensed Architects, Landscape
Architects and Registered Interior Designers of Oklahoma issuing a license to practice landscape architecture within the state of
Oklahoma and, where applicable, a certificate of authority to the firm, association, corporation or partnership. The undersigned,
being duly sworn, upon his/her oath deposes and says that he/she is the person making the foregoing statements and that they are
made in good faith and are true in every respect.
Signature of applicant
In the event you can not truthfully sign the statement above, attach an explanation and describe the services performed in
detail.
State of:
County of:
I, __________________________________________
a Notary Public in and for said County, in the State
aforesaid, DO HEREBY CERTIFY that
Personally know to me to be the same person whose
name is subscribed to the foregoing instrument,
appeared before me this day in person, and
acknowledge that they signed, sealed and delivered
the said instrument as their free and voluntary act, for
the uses and purposes therein set forth.
GIVEN UNDER MY HAND AND NOTARIAL SEAL
THIS DAY OF , 20
NOTARY PUBLIC
MY COMMISSION EXPIRES
Affix Photo Here
Bust Only
Approximately 2 1/8 X 2 ¾”
NOTARIAL SEAL
Board of Governor of The Licensed Architects, Landscape Architects and Interior Designers
P.O. Box 53430, OKC, OK 73152
Name Date
Applicant’s Current Address
Is/Was Employed with the Firm of
Address of Firm
□ Architecture □ Planning □ Furnishing Equipment or Fixtures
□ Engineering □ Construction □ Construction Management
Which Rendered those
Services Indicated by an
“X” □ Landscape Architecture □ Other (Explain on Separate Sheet)
Position of Supervisor □ Registered Architect □ Landscape Architect □ Registered Engineer or Planner
□ Other If Other, Please Explain
Length of Time Check Appropriate Experiences in Hours
In the
Position Of General Practice of Landscape Architecture
Dates of Employment
Full Time
Part Time
(Less then
35 Hrs/Wk)
From To 􀀳􃌠 􀀳􃍈 Hrs/Wk
Day Month Year Day Month Year
Employee
Other
(Explain)
Programming-
Client Contact
Site & Environ.
ASchel miatic
Design
Cost
Estimating
Code
Research
Design
Development
Documents
Checking
Bidding &
Contract
Contr. Phase-
Office
Constr. Phase-
Observation
Office
Procedures
Applicant’s Authorization and Release – This release must be signed before sending this form to Employer.
I hereby authorize the Board of Governors of the Licensed Architects and Landscape Architects of Oklahoma to make inquiries of
the person listed as a reference on this form with respect to my background and character. I invite full and complete response to all inquiries.
I release the reference from any and all claims, including claims for libel and slander, which may arise out of the communication of any
information to the Board of Governors of the Licensed Architects and Landscape Architects of Oklahoma by the reference.
Signed Date
Applicant Complete Above this Line
The above person has made application to this Board for a license to practice landscape architecture in the State of Oklahoma. He
has given your name as a reference and as one who knows his work, ability, reputation and personal character.
We request your assistance in completing this form, with sincere and conscientious consideration f the need for objective appraisal
of the applicant’s ability and his potential to practice landscape architecture.
A. The dates of Employment as shown above are correct. Yes □ No □ If no, please clarify
B. The applicant worked under the direct supervision of individuals indicated. Yes □ No □ If no, please clarify
C. The experiences checked by the applicant for the dates of employment shown are
correct. Yes □ No □ If no, please clarify
D. Please indicate, to the best of your knowledge, the applicant’s ability in the experiences indicated above by placing an “X” in the
appropriate spaces below. If “Unsatisfactory” box is checked please submit a letter of explanation with this form.
Excellent Satisfactory Marginal Unsatisfactory Not Qualified to
Answer
Technical Competence
Professional Integrity
Engineer or
Planner
(Person supplying information above, please complete the following relative to yourself. Please type.)
Name of Person Completing this half form
Jurisdiction(s)/Dates(s) of Registration(s) and Type of Registration
Position in above firm
Name of Current Firm Position in Current Firm
Signature Date