Pre-Application Form

PRE-APPLICATION FORM FOR EIT, LSIT, PE & LS APPLICATIONS

Please complete this form in its entirety. If you have any questions, you may call (334) 242-5098 or e-mail questions to bonnie.kelly@bels.alabama.gov

You must tab between the fields. If you hit enter, it will submit the form. Once you hit submit, an e-mail confirmation of the information you submitted will be sent to you.

If you do not receive an e-mail stating you meet the requirements within a week, e-mail to the above address for a status of your pre-application.

Microsoft Internet Explorer is the required browser for successful form submission.

Applying for

Applicant's Full Name

Mailing Address - include city, state and zip

Street

City, State, Zip

Daytime Number

Company Name

E-mail Address

EDUCATION INFORMATION:

COMITY & ENGRG EXAM APPLICANTS MUST HAVE A 4 YEAR DEGREE -- LS APPLICANTS MUST HAVE A 4 YEAR DEGREE JAN. 1, 2008

University

City/State

4 year BS Degree

ABET or TAC (engineering technology) accredited

If you have an Engineering Technology degree, you must also have an ABET accredited MS degree in engineering in order to meet our requirements.

If you selected Other as the discipline or your degree is not in engineering, engineering technology or surveying, indicate the discipline and/or degree received

Date of Graduation

Additional Engineering Degree

University

City/State

Discipline Date of Graduation

EXPERIENCE INFORMATION:

PE & LS APPLICANTS: YOU MUST HAVE AT LEAST THE MINIMUM EXPERIENCE VERIFIED. See License Requirements

Years of engineering experience after graduation that can be verified by licensed PE supervisors or associates

Years of land surveying experience that can be verified by licensed LS supervisors or associates

EXAM INFORMATION:

If you have taken an exam or exams in Alabama or another jurisdiction, furnish the following information.

Comity applicants - you must have taken both the FE (EIT) and PE exams.

PE exam - you must have taken the FE (EIT) exam.

PLS exam - you must have taken the FLS (LSIT) exam.

ALLS exam - you must have taken both the FLS and PLS exams.

There is no waiver for these exams. Regardless of degrees or experience.

FE (EIT) Exam Date EI number

PE Exam Date

PE number Date License Current to

FLS Exam Date LSIT number

PLS Exam Date

LS number Date License Current to

Do you hold a NCEES Council Record? Yes No Comity Applicants Only

Have you previously filed an application in Alabama? If yes, explain below