Fillable Licensure by Credentials Application Requirements and Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Licensure by Credentials Application Requirements and Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Architects
124 Halsey Street, 3rd Floor, P.O. Box 45001
Newark, New Jersey 07101
(973) 504-6385
Licensure by Credentials Application
Requirements and Instructions
Dear Applicant:
Please be advised that the following are the requirements for Licensure by Credentials in the State of New Jersey.
Education Requirements -
Pursuant to N.J.S.A. 45:3-5 and N.J.A.C. 13:27-4.5 applicants shall be regarded as having fullled the education requirement if he/
she has a baccalaureate or master’s degree in architecture from a university, college, or technical school which has an architectural
program accredited by the National Architecture Accrediting Board or if the applicant has completed education which the Board
deems to be equivalent to an accredited full course in architecture. Any applicant, who on or before July 1, 1987, fullls the
education requirement or the experience or experience and partial schooling equivalent requirements in effect immediately prior to
the effective date of this 1987 amendatory act, shall also be regarded as having fullled the education requirement.
Experience Requirements -
Pursuant to N.J.A.C. 13:27-4.5 all applicants must present evidence of successful completion of at least three (3) years in the
Architectural Experience Program (AXP) administered by the National Council of Architectural Registration Boards (NCARB). The
applicant shall be regarded as having fullled the experience requirement if he/she demonstrates three years or more of experience
related to architecture. The three years of experience cannot be attained in less than thirty-six (36) calendar months.
Examination Requirements -
Pursuant to N.J.A.C. 13:27-4.5 all applicants must document passing the Architectural Registration Examination (A.R.E.), or a
combination of exams, equivalent to the ARE. Licensure based on an oral interview or a foreign registration is unacceptable.
Please note: In cases where the applicant has been granted a registration or a license in another United States jurisdiction on the basis
of education, training and examination requirements that are not substantially equal to those required in this State, the applicant may be
granted a license if the applicant can demonstrate that he or she possesses the education, training and examination requirements as set
forth in N.J.A.C. 13:27-4.1, or their substantial equivalents.
Direct applicants – Licensure by Credentials
Applicants applying for License by Credentials directly from their base state: In addition to ling the required application, applicants
must furnish the Board with the following:
• Application fee of $75.00, payable by check or money order.
• Attach a 2x2 clear photograph taken within the last six months.
• Send additional/supporting documents if you answered ‘Yes” to any of the questions #6 through #15 of the application.
• At the request of the applicant - Letter of Certication sent directly from your base state to this ofce; stating how your license
was obtained, by what examination and the grades received.
• At the request of the applicant - College transcripts sent directly from the college(s) to this ofce. If transcript is under
maiden name, it is the applicant’s responsibility to contact the State Board of Architects and notify the staff in order to
properly match your records.
• Applicant must present evidence of successful completion of at least three (3) years in the Architectural Experience Program (AXP).
• Work references from three (3) architects who are personally acquainted with your professional abilities. The person seeking
to practice architecture must provide a list of the names and addresses on the application and the Board will forward the work
reference form to the individuals to be completed and returned to the Board.
NCARB applicants - Licensure by Credentials
Applicants applying for License by Credentials through NCARB: In addition to ling the required application, applicants must
furnish the Board with the following:
• Applicants must be certied by the National Council of Architectural Registration Boards (NCARB). Please contact NCARB
and have your le (Blue cover record) forwarded directly to this ofce, if you have not already done so.
• Application fee of $75.00, payable by check or money order.
• Attach a 2x2 clear photograph taken within the last six months.
• Send additional/supporting documents if you answered “Yes” to any of the questions #6 through #15 of the application.
• Applicants must complete the Architectural Experience Program (AXP), formerly known as the Intern Development Program
(IDP) training criteria and value units as administered by National Council of Architectural Registration Boards (NCARB).
Applicants for registration shall present evidence of successful completion of AXP as administered by NCARB.
National Council of Architectural Registration Boards
1401 H Street NW Suite 500
Washington, DC 20005
Telephone: 202-783-6500
Customer Relations: 202-879-0520
Fax: 202-783-0290
E-mail: customerservice@ncarb.org
www.ncarb.org
All foreign architectural degree holders and non-NAAB-accredited degree holders, prior to ling their application, must have their
degree evaluated and are advised to contact ESSA-NAAB program section at 202-783-2007 or visit the website at https://www.naab.org/eesa/
and forward their college transcripts for evaluation to:
National Architectural Accrediting Board
1735 New York Ave, NW
Washington, DC 20006
Telephone: 202-783-2007
Fax: 202-783-2822
E-mail: info@naab.org
www.naab.org
Pursuant to N.J.A.C. 13:27-4.2 this evaluation must attest that the foreign and non-NAAB accredited degree is at least the substantial
equivalent of a Bachelor of Architecture degree in the United States, to be considered acceptable by the Board. The evaluation must be
mailed directly from the National Accrediting Architectural Board to the National Council of Architectural Boards at the request of the
applicant.
Should you meet the above requirements, please complete and return the attached application with your check or money order in the
amount of $75.00, payable to the State of New Jersey. Please note that your application will not be accepted without the required $75.00
application fee.
Please be advised that false information, if proven at any time, may subject applicant to revocation of license. If there are any questions,
please contact the Board at 973-504-6385.
Very truly yours,
New Jersey State Board of Architects
Charles F. Kirk
Acting Executive Director
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Architects
124 Halsey Street, 3rd Floor, P.O. Box 45001
Newark, New Jersey 07101
(973) 504-6385
Licensure by Credentials Application
Checklist
Dear Applicant:
Please reference the following checklist items to ensure the Board receives all required documents. The Board’s statutes and regulations
may be viewed at: https://www.njconsumeraffairs.gov/arch/Pages/regulations.aspx.
Application-completed and notarized.
Application fee of $75.00, payable by check or money order.
Attach a 2x2 clear color passport-style photograph taken within the last six months (no seles or scanned photos).
Send additional/supporting documents if you answered ‘Yes” to any of the questions #6 through #15 of the application.
Applicants applying DIRECT- At the request of the applicant college transcripts must be sent directly from the college(s) to this
ofce. If transcript is under maiden name, it is the applicant’s responsibility to contact the State Board of Architects and notify
the staff in order to properly match your records.
Applicants applying DIRECT- At the request of the applicant a letter of certication sent directly from your base state to this
ofce; stating how your license was obtained, by what examination and the grades received.
Applicants applying DIRECT- Work references from three (3) architects who are personally acquainted with your professional
abilities. The person seeking to practice architecture must provide a list of the names and addresses on the application and the
Board will forward the work reference form to the individuals to be completed and returned to the Board.
Applicants applying through NCARB- Please contact NCARB and have your le (Blue cover record) forwarded directly to this
ofce, if you have not already done so.
Please contact the Board’s Call Center at 973-504-6385 with any questions. You may follow the progress of your application by visiting
the Division of Consumer Affairs’ website at: www.njconsumeraffairs.gov/ and clicking on “Checking Application Status” under “License
& Registration.” Please follow the directions to create an account, including a user name and password.
Very truly yours,
New Jersey State Board of Architects
Charles F. Kirk
Acting Executive Director
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Architects
124 Halsey Street, 3rd Floor, P.O. Box 45001
Newark, New Jersey 07101
(973) 504-6385
Application for Registration as an Architect
Date:_____________________________
A nonrefundable Architect Registration Examination application ling fee of $50
intheformofacheckormoneyordermade
outtotheStateofNewJersey,mustbesubmittedwiththisapplication.(Applicantsshouldunderstandthatiftheapplicationling
feeispaidwithapersonalcheck,andthecheckisreturnedbythebankduetoinsufcientfunds,thenextstepinthelicensureor
certicationprocesswillbedelayeduntilthefeeispaid.)Ifyouareregisteredasalicensedarchitectinanotherstateorjurisdiction,
andyouarenowseekinglicensure by credentials in New Jersey, you must submit with this application a nonrefundable
application ling fee of $75.
TheDivisionisprecludedbylawfromdisclosingtothepublictheplaceofresidenceoflicenseesorapplicants,without
theirconsent.Youare,however,requiredtoprovideanaddressthatmaybereleasedtothepublicinourdirectoriesorin
responsetootherrequests(byputtingacheckintheappropriatebox).Ifyouprovideyourplaceofresidenceasyourpublic
addressofrecord,wewillassumethatyouhaveconsentedtohavethataddressbedisclosed.Ifyoudonotconsenttothe
disclosureofyourplaceofresidence,youshouldprovideanaddressofrecordotherthanyourplaceofresidencethatmaybe
releasedtothepublic.Oneofyouraddressesmustincludeastreet,city,stateandZIPcode.
InformationthatyouprovideonthisapplicationmaybesubjecttopublicdisclosureasrequiredbytheOpenPublicRecordsAct
(OPRA).
Please print clearly. You must answer all of the questions on this application.
Personal Information Dateofbirth:_________________________
MonthDayYear
Placeofbirth:________________________
 CityState
Mr.
1. Name Mrs.________________________________________________________________ (_______________________)
 Ms.
Lastname Firstname Middleinitial Maidenname
2. Address
Home:______________________________________________________________________________________________
StreetorP.O.Box City State ZIPcode County
_____________________________________ ___________________________________
Telephonenumber(includeareacode) E-mailaddress
 Business:____________________________________________________________________________________________
Nameofcompany Telephonenumber(includeareacode)
___________________________________________________________________________________________
Street City State ZIPcode County
 Mailing: ___________________________________________________________________________________________
StreetorP.O.Box City State ZIPcode County
Attachaclear,full-facepassport-
stylephotograph(2˝x2˝)ofyour
headandshoulders,takenwithin
thepastsixmonths.
A photograph is required with
eachapplication.
Donot use staples toattach the
photograph.
For oFFice Use only
Application number:
____________________
3. SocialSecurityNumber
Youmust discloseyourSocialSecuritynumberforthereasonsstatedbelow.Failuretodosomayresultinadenialoflicensureor
certicationorlicenseorcerticaterenewal.
*SocialSecurityNumber: __________-_________ -_________
*PursuanttoN.J.S.A.54:50-24etseq.oftheNewJerseytaxationlaw,N.J.S.A.2A:17-56.44eoftheNewJerseyChildSupport
EnforcementLaw,Section1128E(b)(2)AoftheSocialSecurityActand45C.F.R.60.7,60.8and60.9,theBoardisrequiredtoobtain
yourSocialSecuritynumber.Pursuanttotheseauthorities,theBoardisalsoobligatedtoprovideyourSocialSecuritynumberto:
a. theDirectorofTaxationtoassistintheadministrationandenforcementofanytaxlaw,includingforthepurposeofreviewing
compliancewithStatetaxlawandupdatingandcorrectingtaxrecords;
b. theProbationDivisionoranyotheragencyresponsibleforchildsupportenforcement,uponrequest;and
c. the National Practitioner Data Bank and the H.I.P. Data Bank, when reporting adverse actions relating to health care
professionals.
4. Citizenship/ImmigrationStatus
FederallawlimitstheissuanceorrenewalofprofessionaloroccupationallicensesorcerticatestoU.S.citizensorqualiedaliens.
Tocomplywiththisfederallaw,checktheappropriateboxbelowwhichindicatesyourcitizenship/immigrationstatus.Ifyouarenot
aU.S.citizen,attachacopyofyouralienregistrationcard(frontandback)orotherdocumentationissuedbytheofceofU.S.
CitizenshipandImmigrationServices(USCIS).
 U.S.citizen
 AlienlawfullyadmittedforpermanentresidenceinU.S.
 Otherimmigrationstatus
Questionsaboutyourimmigrationstatusandwhetherornotitisaqualifyingstatusunderfederallawshouldbedirectedtothe
USCISat:1-800-375-5283.
5. ChildSupport
Pleasecertify,underpenaltyofperjury,thefollowing:
a. Doyoucurrentlyhaveachild-supportobligation? Yes No
(1)If“Yes,”areyouinarrearsinpaymentofsaidobligation? Yes No
(2)If“Yes,”doesthearrearagematchorexceedthetotalamountpayableforthepastsixmonths? Yes No
b. Haveyoufailedtoprovideanycourt-orderedhealthinsurancecoverageduringthepastsixmonths? Yes No
c. Haveyoufailedtorespondtoasubpoenarelatingtoeitherapaternityorchild-supportproceeding? Yes No
d. Areyouthesubjectofachild-support-relatedarrestwarrant? Yes No
InaccordancewithN.J.S.A.2A:17-56.44d,ananswerof“Yes”toanyofthequestionsa(1)throughdmayresultinadenialof
licensureorcertication.Furthermore,anyfalsecerticationoftheabovemaysubjectyoutoapenalty,including,butnotlimited
to,immediaterevocationorsuspensionofyourlicensureorcertication.
 ___________________________________ ___________________________________ ________________________

Applicant’sname(pleaseprint) Applicant’ssignature Date
6. Haveyoueverbeensummoned;arrested;takenintocustody;indicted;tried;chargedwith;admittedintopre-trialintervention(P.T.I.);
orpledguiltytoanyviolationoflaw,ordinance,felony,misdemeanorordisorderlypersonsoffense,inNewJersey,anyotherstate,
theDistrictofColumbiaorinanyotherjurisdiction?(Parkingorspeedingviolationsneednotbedisclosed,butmotorvehicle
violationssuchasdrivingwhileimpairedorintoxicatedmustbe.) Yes No
7. Haveyoueverbeenconvictedofanycrimeoroffenseunderanycircumstances?Thisincludes,butisnotlimitedto,apleaofguilty,
nonvult,nolocontendere,nocontest,orandingofguiltbyajudgeorjury. Yes No
If“Yes,”provideacopyofthejudgmentofconvictionandthereleasefromparoleorprobation.Pleaseprovideacompleteexplanation.
(Attachadditionalsheetsofpapertothisapplication.)
8. Doyoucurrentlyhold,orhaveyoueverheld,aprofessionallicenseorcerticateofanykindinNewJersey,anyotherstate,the
DistrictofColumbiaorinanyotherjurisdiction? Yes No
If“Yes,”foreachlicenseorcerticateheld,providethedate(s)heldandthenumber(s).Ifthelicenseorcerticatewasissuedunder
adifferentname,pleaseprovidethatname.____________________________________________________________________
LastnameFirstname Middleinitial
_____________________ _______________________ ____________________________ ____________________
Typeoflicenseorcerticate Number Stateorjurisdictionthatissuedthelicenseorcerticate Dateissued/expired
_____________________ _______________________ ____________________________ ____________________
Typeoflicenseorcerticate Number Stateorjurisdictionthatissuedthelicenseorcerticate Dateissued/expired
_____________________ _______________________ ____________________________ ____________________
Typeoflicenseorcerticate Number Stateorjurisdictionthatissuedthelicenseorcerticate Dateissued/expired
_____________________ _______________________ ____________________________ ____________________
Typeoflicenseorcerticate Number Stateorjurisdictionthatissuedthelicenseorcerticate Dateissued/expired
9. HaveyoueverbeendisciplinedordeniedaprofessionallicenseorcerticateofanykindinNewJersey,anyotherstate,theDistrict
ofColumbiaorinanyotherjurisdiction? Yes No
10. Haveyoueverhadaprofessionallicenseorcerticateofanytypesuspended,revokedorsurrenderedinNewJersey,anyotherstate,
theDistrictofColumbiaorinanyotherjurisdiction? Yes No
11. Hasanyaction(includingtheassessmentofnesorotherpenalties)everbeentakenagainstyourprofessionalpracticebyanyagency
orcerticationboardinNewJersey,anyotherstate,theDistrictofColumbiaorinanyotherjurisdiction? Yes No
12. Haveyoueverbeennamedasadefendantinanylitigationrelatedtothepracticeofarchitectureorotherprofessionalpracticein
NewJersey,anyotherstate,theDistrictofColumbiaorinanyotherjurisdiction? Yes No
13. AreyouawareofanyinvestigationpendingagainstaprofessionallicenseorcerticateissuedtoyoubyaprofessionalboardinNew
Jersey,anyotherstate,theDistrictofColumbiaorinanyotherjurisdiction? Yes No
14. ArethereanycriminalchargesnowpendingagainstyouinNewJersey,anyotherstate,theDistrictofColumbiaorinanyother
jurisdiction? Yes No
15. Haveyoueverbeensanctionedbyorisanyactionpendingbeforeanyemployer,association,society,orotherprofessionalgroup
relatedtothepracticeofarchitectureorotherprofessionalpracticeinNewJersey,anyotherstate,theDistrictofColumbiaorinany
otherjurisdiction? Yes No
Iftheanswertoanyoftheabovequestions,numbers10through15,is“Yes,”provideacompleteexplanationofthecircumstances
leadingtotheaction,andanysupportingdocumentation,onseparatesheetsofpaper.
Iherebyapplyforregistrationandlicensuretopracticearchitecturebythefollowingmethod:
WrittenLicensingExamination
Licensurebycredentials:N.C.A.R.B.CerticateNo.___________ Stateorjurisdiction___________ RegistrationNo. __________
Licensurebycredentials:N.C.A.R.B.RecordFileNo.__________ Stateorjurisdiction___________ RegistrationNo. __________
Licensurebycredentials:Directlythroughoriginaljurisdiction Stateorjurisdiction___________ RegistrationNo. __________
• Ifyouhavepreviouslyappliedtoanotherstateorjurisdictionforexaminationorlicensure,andhavenotcompletedtheprocessfor
anyreason,identifythestateorjurisdiction:_________________________________Applicationdate:_____________________.
Ifyourapplicationwasrejected,pleaseattachanexplanationtothisapplication.
A. Educational Background
Secondary School
______________________________________________________________________________________
Name of school Dates of attendance (From – To) Grades completed
______________________________________________________________________________________
Name of school Dates of attendance (From – To) Grades completed
______________________________________________________________________________________
Name of school Dates of attendance (From – To) Grades completed
Colleges, Universities, Technical Schools
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
______________________________________________________________________________________
Name of school (From – To) Dates of attendance/degrees
Travel, Continuing Education, Research, Publications:
B. Professional Organization Service
_________________________________________________________________________________________
Name of organization Name of secretary Address
_________________________________________________________________________________________
Name of organization Name of secretary Address
_________________________________________________________________________________________
Name of organization Name of secretary Address
_________________________________________________________________________________________
Name of organization Name of secretary Address
_________________________________________________________________________________________
Name of organization Name of secretary Address
_________________________________________________________________________________________
Name of organization Name of secretary Address
C. PracticalExperience
Provide the employer’s full name and the firm’s
completeandcurrentaddress.Identifythebusiness
orprofession.Nameyourimmediatesupervisorand
providehisorhertitleandlicensenumber.Beginwith
yourmostrecentexperience,includingmilitaryand
otheroccupations.**
Datesof
employment
Month and Year
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
Totaltime
employed
*Part Time
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Full Time
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
Years
Months
CheckAppropriateExperiences
* Ifpart–timeworkisnoted,indicatetheaveragenumberofhoursworkedperweek.
** If“other”kindsofworkarenoted,describethemonaseparatesheetofpaper.
ProgrammingResearch
SchematicDesign
DesignDevelopment
ContractDrawings
Specicationsand
CostEstimating
ContractAdministration
OfceAdministration
StructuralDesign
Mech./Elec.Design
Interior,Landscapeand
UrbanPlanning
TeachinginArch.School
OtherExperiences
D. Public and Community Service
E. Architect
References
Name three architects who are personally acquainted with your professional abilities. Please provide a complete
address for every architect listed.
______________________________________________________________________________________
Name
______________________________________________________________________________________
Street address City State ZIP code
______________________________________________________________________________________
Name
______________________________________________________________________________________
Street address City State ZIP code
______________________________________________________________________________________
Name
______________________________________________________________________________________
Street address City State ZIP code
F. Professional Status
Individual practitioner General partner Limited partner or associate
Corporation director Employee Professional service corporation
_________________________________________________________________________________________
Firm name Years (From - To)
_________________________________________________________________________________________
City State ZIPcode
If you previously have been a principal in an architectural rm, complete the following:
_________________________________________________________________________________________
Firm name Years (From - To)
_________________________________________________________________________________________
City State ZIPcode
_________________________________________________________________________________________
Firm name Years (From - To)
_________________________________________________________________________________________
City State ZIPcode
AffidAvit
This afdavit is to be executed by the applicant before a notary public:
Stateof:_____________________________________________
Countyof:___________________________________________
I, ________________________________________________ ,inmakingthisapplicationtotheNewJerseyStateBoardofArchitects
forlicensureorcerticationundertheprovisionsofTitle45oftheGeneralStatutesofNewJerseyandtheRulesoftheNewJerseyState
BoardofArchitects,swear(orafrm)thatIamtheapplicantandthatallinformationprovidedinconnectionwiththisapplicationistrue
tothebestofmyknowledgeandbelief.Iunderstandthatanyomissions,inaccuraciesorfailuretomakefulldisclosuresmaybedeemed
sufcienttodenylicensureorcerticationortowithholdrenewaloforsuspendorrevokealicenseorcerticateissuedbytheBoard.
I further swear (or affirm) that I have read N.J.S.A. 45:3-1 et seq., together with the Rules and Regulations of the
NewJerseyStateBoardofArchitects,N.J.A.C.13:27-1.1etseq.,andfullyunderstandthatinreceivinglicensureorcerticationfrom
theBoard,Ibindmyselftobegovernedbythem.
Furthermore,Ivoluntarilyconsenttoathoroughinvestigationofmypresentandpastemploymentandotheractivitiesforthepurpose
ofverifyingmyqualicationsforlicensureorcertication.Ifurtherauthorizeallinstitutions,employers,agenciesandallgovernmental
agenciesandinstrumentalities(local,state,federalorforeign)toreleaseanyinformation,lesorrecordsrequestedbytheBoard.
__________________________________________________
Signatureofapplicant
Swornandsubscribedtobeforemethis__________________
dayof ____________________________ ,______________
MonthYear
__________________________________________________
NameofNotaryPublic(pleaseprint)
__________________________________________________
SignatureofNotaryPublic
AfxSealHere
} ss.
Qualications: Recommendations: BoardAction:
Education Interview Interview Date______________________
Experience AdmitExam Withhold/Deny Date______________________
Examination Certify Certify Date______________________
CerticateorLicenseNo._____________________________ Granted ___________________________________
For ofce use only:
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Licensure by Credentials Application Requirements and Instructions (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Completed 14 August 2020

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