Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 30 - BOARD OF TECHNICAL REGISTRATION › Article 2 - REGISTRATION PROVISIONS › Section R4-30-201 - Registration as an Architect, Engineer, Geologist, Landscape Architect, or Land Surveyor

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for
				registration as an architect, engineer, geologist, landscape architect, or land
				surveyor shall submit a completed application package for professional
				registration that contains the following:
1.
				Evidence of successful completion of the current national professional
				examination or waiver of the examination pursuant to A.R.S. §
										32-126 and R4-30-203 in the
				category, and branch if applicable, for which registration is sought.
				Applicants shall arrange to have their examination results sent directly to the
				Board from the applicable testing agency holding the examination
				results;
2. Name, residence
				address, mailing address if different from residence, email and telephone
				number, of the applicant;
3. Date
				of birth and social security number of the applicant;
4. Citizenship or legal residence of the
				applicant;
5. Category, and branch
				of engineering if applicable, for which the applicant is seeking
				registration;
6. A detailed
				explanatory statement and documentation, regarding;
a. Any disciplinary action, including
				suspension and revocation, taken by any state or jurisdiction on any
				professional or occupational registration, certification, or license held by
				the applicant in any state or jurisdiction, within five years before the date
				of application;
b. Refusal of any
				professional or occupational registration, certification, or license to the
				applicant by any state or jurisdiction, within five years before the date of
				application;
c. Any pending
				disciplinary action in any state or jurisdiction on any professional or
				occupational registration, certification, or license held by the
				applicant;
d. Any alias or other
				name used by the applicant; and
e.
				Any conviction of the applicant for a felony or misdemeanor, other than a minor
				traffic violation, within five years before the date of application.
7. State or jurisdiction in which
				the applicant holds any other professional or occupational registration,
				certification, or license, type of registration, certification or license
				number, year granted, how registration, certification, or license was granted
				(by examination, education, experience, or reciprocity);
8. State or jurisdiction in which the
				applicant has pending an application for any type of professional or
				occupational license, registration, or certification, type of license,
				registration or certification being sought, and the status of the
				application;
9. Name, mailing
				address, years attended, graduation date, major, and type of degree received
				from each college, university, or educational institution the applicant
				attended;
10. Certified transcripts
				sent directly to the Board from the registrar of each college, university, or
				educational institution the applicant attended, unless previously provided to
				the Board pursuant to
				R4-30-204;
11. Name, current address, and telephone
				number of the applicant's current and former employers (the names of companies
				within the last ten-year period) in the category for which registration is
				sought; dates of employment; applicant's title; description of the work
				performed; and number of hours worked per week, unless previously provided to
				the Board pursuant to
				R4-30-204;
12. Names and addresses of immediate
				supervisors in past and present employment in the category for which
				registration is sought. An applicant who has been working in the category for
				which registration is sought for 10 or more years shall provide the names and
				address of all immediate supervisors during the most recent ten-year period. If
				an applicant cannot supply the names and addresses of supervisors for at least
				three engagements, the applicant shall provide to the Board a written, sworn
				statement explaining the inability to provide this information, and the names
				and addresses of three professional references, unrelated to the applicant, at
				least two of whom are registered in the category for which registration is
				sought, unless previously provided to the Board pursuant to
				R4-30-204;
13. A release
				authorizing the Board to investigate the applicant's education, experience,
				moral character, and repute;
14.
				Certificate of Experience Report from the applicant's present and past
				immediate supervisors. The applicant shall also provide Certificate of
				Experience Record from additional professional references as required by the
				Board. The applicant shall provide the name, address, and telephone numbers of
				all references. The applicant shall ensure that completed reference forms are
				provided to the Board, but the Board must receive them directly from the
				reference;
15. Evidence of
				successful completion, or waiver by the Board, of the applicable fundamentals
				examination. An applicant for registration who has successfully completed a
				fundamentals examination in another jurisdiction in the category for which
				registration is sought equivalent to the examination for that category
				administered in Arizona shall submit proof of examination directly from the
				authority that administered the original examination. An applicant seeking
				professional registration as an engineer, geologist or land surveyor shall pass
				the applicable fundamentals examination before admission to the professional
				examination. An applicant seeking professional registration as a geologist may
				take the fundamentals examination on the same day;
16. Certification that the information
				provided to the Board is accurate, true and complete; and
17. The applicable fee.