Do not write in this space

I. THE ABOVE NAMED PERSON WAS LICENSED AS:  PROFESSIONAL ENGINEER  ENGINEER-IN-TRAINING (passed FE)	LICENSE NUMBER				DATE ISSUED		VALID UNTIL		DATE APPLIED
II. THIS LICENSURE WAS BASED UPON: 1. WRITTEN EXAMINATION: hrs. P&P hrs. OTHER NO  YES  hrs. FE (EIT) Date (Mo/Yr) FE 2. ORAL EXAMINATION: hrs. P&P NO  YES  DISCIPLINE EXAMINED IN: _______________________________________________ 3.  COMITY WITH: (1)____________________________ (2)______________________________ 4. EDUCATION AND EXPERIENCE: Were your state's requirements equal to or more demanding at the time this person became licensed than Maryland's requirements which, from June 1, 1967 to present, have been: EDUCATION EXPERIENCE
None		and	12 years of which 5 years were in responsible charge
		OR
Non-accredited 4 year engineering degree		and	8 years
		OR
EAC/ABET accredited engineering degree		and	4 years
NO  YES  If the applicant was licensed with your Board prior to June 1, 1967, please list the requirements in effect at that time on the other side. BY:___________________________________________ TITLE:_________________________________________ DATE:_________________________________________ (BOARD SEAL) NOTE TO APPLICANTS: Include a postage paid, addressed envelope for return to Maryland Board.

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Form 4




STATE BOARD FOR PROFESSIONAL ENGINEERS

ENGINEERING CURRICULUM CHECKLIST

CANDIDATES APPLYING UNDER TITLE 14-305(c) (NON-EAC/ABET APPROVED CURRICULUM) AND ALL FOREIGN DEGREE APPLICANTS (SEE SECTION V.-E,3 OF THE DIRECTIONS) MUST COMPLETE THE FOLLOWING COURSE OUTLINE CHART. THIS FORM MUST BE TYPED.

NOTE: You are advised to review Regulation .09.23.05.06 to determine courses which are not allowed.
_________________________________________________________________________________________________

Last Name First Middle

A. LIST COLLEGES/UNIVERSITIES ATTENDED	DEGREE	DATE RECEIVED
C/U # 1.
C/U # 2.
C/U #3.

AN ENGINEERING CURRICULUM OF 4 SCHOLASTIC YEARS OR MORE FROM A COLLEGE OR UNIVERSITY CURRICULUM SHALL CONSIST OF AT LEAST:

B. 15 semester credit hours in mathematics, which shall include differential calculus, integral calculus, and differential equations.

C/U #	COURSE NAME	COURSE NUMBER	COURSE CONTENT/DESCRIPTION	CREDIT HOURS
				SEMESTER	QTR
			TOTAL

C. 15 semester credit hours in basic sciences including general chemistry and physics with calculus.

C/U #	COURSE NAME	COURSE NUMBER	COURSE CONTENT/DESCRIPTION	CREDIT HOURS
				SEMESTER	QTR
			TOTAL

Page 1 of 2

D. 30 semester credit hours in engineering subjects which shall be selected from subject areas such as:

Statics and Dynamics Electronics Digital Signals and Systems

Strength of Materials Solid State Physics Finite Element Analysis

Materials Science Physical Chemistry Transient Analysis and Feedback Control Theory Thermodynamics Electrodynamics Design

Transfer and Transport Phenomenon

C/U #	COURSE NAME	COURSE NUMBER	COURSE CONTENT/DESCRIPTION	CREDIT HOURS
				SEMESTER	QTR
			TOTAL

E. 15 semester credit hours in advanced courses in mathematics, science or engineering.

C/U #	COURSE NAME	COURSE NUMBER	COURSE CONTENT/DESCRIPTION	CREDIT HOURS
				SEMESTER	QTR
			TOTAL

NOTE: Incorporated in the engineering curriculum as integral elements of instruction shall be:

(1) Hands on quantitative laboratory work correlated with the science and design instruction.

IMPORTANT: Place an * next to the course subjects that included laboratory work.

(2) For graduation subsequent to 1975, at least one high level computer language such as FORTRAN

or PASCAL so that the student is able to compose computer programs to solve problems in

science and design.

THIS FORM MUST BE RETURNED COMPLETED WITH YOUR APPLICATION
THIS FORM MUST BE TYPED

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Form 5 STATE OF MARYLAND DEPARTMENT OF LABOR, LICENSING AND REGULATION STATE BOARD FOR PROFESSIONAL ENGINEERS RECORD OF EXPERIENCE RECIPROCITY APPLICANT ONLY FULL NAME LAST FIRST MIDDLE Enter earliest employment first.

Name and complete Address of Person Familiar with Each Position

PAGE_____OF_____

Engineering Experience Claimed

Time in

Months

Years

Employment Record Name, Complete Location and Character of Business Kind of applicant’s Engineering Work Degree of Responsibility

TOTAL TIME

Date

Yr.

Mo.

From:

To:

From:

To:

From:

To:

From:

To:

From:

To:

From:

To:

Engagement Number

1

Form 5 Page 2 STATE OF MARYLAND DEPARTMENT OF LABOR, LICENSING AND REGULATION STATE BOARD FOR PROFESSIONAL ENGINEERS RECORD OF EXPERIENCE RECIPROCITY APPLICANT ONLY FULL NAME Last First Middle FULL NAME LAST FIRST MIDDLE Enter earliest employment first.

Name and complete Address of Person Familiar with Each Position

PAGE_____OF_____

Engineering Experience Claimed

Time in

Months

Years

Employment Record Name, Complete Location and Character of Business Kind of applicant’s Engineering Work Degree of Responsibility

TOTAL THIS SHEET

TOTAL ALL SHEETS

Date

Yr.

Mo.

From:

To:

From:

To:

From:

To:

From:

To:

From:

To:

Engagement Number

DIRECTIONS

NOTE: Each form and section of these directions will be marked with the pertinent applicant symbol to direct your

attention appropriately:

= Engineer-in-Training Exam = Professional Engineer Exam = Licensure by Reciprocity

I. PROFESSIONAL ENGINEER LICENSING IN MARYLAND
Professional Engineer licensing in the State of Maryland is under the jurisdiction of the Department of Labor, Licensing

and Regulation. Professional Engineer licensing is administered by the Board for Professional Engineers which consists

of seven members appointed by the Governor.




II. AUTHORIZATION TO PRACTICE PROFESSIONAL ENGINEERING IN MARYLAND
A. Legal authority to practice engineering in Maryland can be obtained in several ways:

1. Licensure by examination in Maryland: You can obtain a license to practice engineering in Maryland

by successfully completing all parts of a written examination in the Principles and Practice of Engineering.

However, before you are permitted to sit for this examination, you must satisfy the Board that you have

met the Board’s education and/or experience requirements.
2. Reciprocity: The Board may accept previous licensure in another state, territory, or foreign country

provided that the requirements for licensure in that state, territory, or foreign country are equivalent to

those required by the Board.
3. Limited License: A limited license allows a Professional Engineer licensed in another state to practice

engineering in the State of Maryland for one specific job which may not last for more than one year.

B. The forms herein can only be used for numbers 1 and 2 above. Please contact the Board’s office for any

information regarding the Limited License application.

III. REQUIREMENTS FOR ENGINEER-IN-TRAINING EXAMINATION/ APPLICATION FORMS
A. An applicant may qualify to take the Fundamentals of Engineering (EIT) examination if the applicant:

1. is in the process of completing a curriculum in engineering at a college or university within the six

months after the next scheduled administration of the fundamentals of engineering examination,

provided that evidence of such is provided by the college or university; or

2. has been graduated from a college or university on completion of a curriculum of engineering.
B. Engineer-in-Training Candidates must submit the following:

Form 1; Form 4 (if required; see ** below); Official Transcript(s). (All documents must be received by

the Board, by the filing deadline. Postmarks are not acceptable.)

1. * *If you are applying under a curriculum from a college/university in the United States that is not

approved by the Engineering Accreditation Commission of the Accreditation Board for Engineering and

Technology (EAC/ABET), you must complete Form 4, the Engineering Checklist.

2. NOTE: YOU SHOULD MAKE A PHOTOCOPY OF ALL FORMS WHEN COMPLETED FOR YOUR

RECORDS. IF YOU ARE CONTACTED BY THE BOARD ABOUT YOUR APPLICATION, YOU WILL

THEN BE ABLE TO RESPOND ACCURATELY TO ANY INQUIRY.

3. Engineer-in-Training applicants are encouraged to retain the rest of this application and use it as a

reference/guide in documenting work experience which you will claim to qualify for the Professional

Engineer’s examination in the future.




IV. REQUIREMENTS FOR PROFESSIONAL ENGINEER LICENSURE BY EXAMINATION

A. To qualify for licensure as a Professional Engineer in Maryland, you must:

1. file a COMPLETE application which is TYPED. A complete application shall include all required forms and

supporting documents in COMPLETE and PROPER FORM, whether submitted by you or by others on your

behalf;

2. demonstrate a satisfactory combination of education and/or ACCEPTABLE EXPERIENCE, as outlined in

Section V. of these directions;

3. pass the examination, as required by the Board;

4. be of good character and reputation; and

5. pay the required fees to the Board.