Association for Women in Architecture Membership Application Form


Name______________________________________________________________

Home address_______________________________________________________

City, State, Zip_______________________________________________________

Home phone___________________________Home fax______________________

email______________________________Web address______________________

(Next: List your work information, or if you are a student, your school information )

Your job title or major _________________________________________________

Company or school name______________________________________________

Address____________________________________________________________

___________________________________________________________________

Phone________________________________Fax___________________________

Work email___________________________Web address____________________

Indicate where you prefer to be contacted by mail and phone with an asterisk (*)

Other affliations______________________________________________________

License/discipline____________________________________________________


Please check the appropriate category for your membership:

$250.00______Sponsor will be acknowledge in the AWA newsletter and at the annual
scholarship banquet.

$60.00______Professional Members are those who hold a professional license, a degree,
or have five years of experience in architecture or a related field.

$60.00______General Members are those with an interest in architecture or a related
field but who do not qualify as professional members.

$30.00______Members-at-Large are qualified to be either general or professional
members but who reside outside Los Angeles or Orange Counties.

$30.00______Student Members shall be enrolled in college level courses in architecture
or a related field.

$30.00______Retired Members are those retired from their professional activities.


Please circle the committees of interest to you.

___Program
___Membership
___Newsletter
___Public Relations
___Special projects/other
___Awarding scholarships
___Career counseling
___Exhibition
___Ways and means
___Architectural tours
___Political Action
___AWA Foundation

(For more information about each committee, contact the Membership Chair at the AWA address below.)

I would like to add a donation to the AWA Scholarship Fund, $_____________


Thank you for joining!

Please mail your application form and check (payable to "AWA") to:
AWA Treasurer
386 Beech Avenue B4
Torrance, CA 90057