Portfolio Application to Gain Professional Membership Status If you are a client giving an applicant a reference, please fill in the form here. Personal InformationName* First Last Home Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Business NameBusiness Address Street Address City ZIP / Postal Code Home PhoneWork PhoneMobile*FaxEmail* Work History*Please provide a detailed work history of your time in the industry. Give details of present and past employers, including contact details and position held during employment.DateEmployerPositionJob Description Portfolio of Work*Please provide the following Two sets of complete kitchen or bathroom plans, including floor plans and elevations, client brief and specification sheet. Two supporting affidavits from the clients submitted in your portfolio signed and dated. A personal recommendation from an industry professional, signed and dated. A written portfolio of achievements and credentials. Please provide any additional information you feel applies and may assist with your application. Compress all information into a zip file before uploading.Accepted file types: zip.Passport style photo*Please upload a passport style photo to submit along with your application.Accepted file types: jpg, gif, png, pdf.Application feePlease forward payment to Certified Designers Society BNZ 02-0214-0071832-000 Please use your Name as Reference and ‘Membership’ in particulars.Certification of Professional ExperienceThe rules established by the NKBA Certified Designers Society require that the Board of the Society may certify only persons of proven competence to design, plan and supervise the installation of residential kitchens and bathrooms. So that the Board may satisfy this requirement the applicant is required to present this Certification form to clients for whom she/he has designed, planned and supervised the installation of a complete kitchen or bathroom within ONE YEAR preceding the application.Signature*Client ReferenceYou will need to have a client supply a reference for you. The link for the form they need to fill out can be found here.