| 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. |
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. |
You must tab between the fields. If you hit enter, it will
submit the form. |
Applying for: |
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Applicant Information: |
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| First Name: |
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| Middle Name: |
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| Last Name: |
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Address Information: |
| Street: |
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| City: |
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| State: |
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| Zip: |
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| Daytime Number: |
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| Company Name: |
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| Email Address: |
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Education Information: |
COMITY & ENGRG EXAM APPLICANTS MUST HAVE
A 4 YEAR DEGREE -- LS APPLICANTS MUST HAVE A
4 YEAR DEGREE JAN. 1, 2008. |
University Name: |
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| City: |
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| 4 year BS Degree: |
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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 in the box below. |
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Date of Graduation: |
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Other Engineering Degree: |
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| Other University Name: |
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| City: |
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| State: |
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| Discipline: |
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| Date of Graduation: |
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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. |
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Years of land surveying experience that can be verified
by licensed LS supervisors or associates. |
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Exam Information: |
If you have taken an exam or exams in Alabama or any
other jurisdiction, please furnish the following information. |
1. Comity applicants - you must have taken both the FE
(EIT) and PE exams. |
| 2. PE exam - you must have taken the FE (EIT) exam. |
| 3. PLS exam - you must have taken the FLS (LSIT) exam. |
4. ALLS exam - you must have taken both the FLS and
PLS exams. |
5. There is no waiver for these exams. Regardless of
degrees or experience. |
| FE(EIT): |
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| Exam Date: |
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| EI Number: |
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PE: |
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| Exam Date: |
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| PE Number: |
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Date License Current to: |
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FLS: |
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| Exam Date: |
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| LSIT Number: |
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PLS: |
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| Exam Date: |
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| LS Number: |
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Date License Current to: |
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Do you hold a NCEES Council Record? |
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| Comity Applicants Only |
Have you previously filed an application in Alabama? |
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| If yes, please explain below: |
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