FOR ENGINEERS AND SURVEYORS

The Board requires that the applicant submit evidence of education and experience in engineering work, of a progressive nature and level acceptable to the Board, in addition to successfully completing the required written examinations. The Board also requires that the applicant submit the names of individuals who are thoroughly familiar with the applicant, and who are willing to give conscientious and accurate testimony concerning experience, competency, and character. The above-named applicant informs this Board that you are familiar with the candidate’s character, reputation, and general ability, and are in a position to validate the extent of the applicant’s responsibility in engineering work with which the applicant has been connected. In light of the above, the Board of Examiners solicits your assistance in determining the applicant’s fitness for licensure by answering frankly, carefully, and fairly, and to a degree commensurate with your thorough knowledge of the applicant’s demonstrated ability, the questions on the following this page. This form is being supplied to you directly by the applicant, and you should mail this form directly to the Board office. Please submit this form directly to the Board. Note: Reference forms are not acceptable by fax or email