Transcription of Professional Engineer Application Checklist
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Professional Engineer Application Checklist
STATE OF CALIFORNIA GOVERNOR EDMUND G. BROWN JR. BOARD FOR Professional ENGINEERS, LAND SURVEYORS, AND GEOLOGISTS. 2535 Capitol Oaks Drive, Suite 300, Sacramento, California, 95833-2944. Telephone: (916) 263-2222 Toll Free: (866) 780-5370. Facsimile: (916) 263-2246. Professional Engineer Application Checklist Applicants applying for licensure are strongly encouraged to use this Checklist to ensure all required documents* are included with their Professional Engineer Application . Qualifying experience must be completed by the final Confirmed Qualifications filing date of submittal of this Application . Reviewed Application Instructions Get answers to many questions asked by applicants. Applications must be filled out in their entirety.
Page 2 of 3 APPLICATION FOR LICENSURE AS A PROFESSIONAL ENGINEER (rev 09/16) Applicant’s Name (Last) (First) (M.I.) Section 2 Engagement Summary and References List engagements below starting with your most recent employment, working back to graduation date.
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