Individuals

Engineer Intern Certificate Application

General Information

Please complete all sections of the application.

Application Procedure

Only applicants with a Bachelor of Science in Engineering Technology (ABET) or a Bachelor of Science in Engineering (non-ABET) or science related degree (non-ABET) are required to upload the Evidence of Experience Form that details four years of progressive engineering experience from the date of graduation. The experience cannot have any gaps and must also include non-engineering experience.

Applicant Details


Passport Sized Recent Head and Shoulder Photo 2 x 2 inches (51 x 51 mm)


Board records, wall certificate and your seal will reflect first name, middle initial and last name unless another preference is indicated below.

Physical Residence Address

Physical Business Address

Mailing Address

Same as

Experience

http://www.ncbels.org/forms/SupplementEng.pdf
Upload evidence of experience in PDF format below.

Education Information

University/College Name:
Date of Graduation:
Degree Conferred - (Civil, Mechanical, Electrical, etc.)

References

References: Three individuals who are familiar with the applicant's work, character and reputation, one of which must be a Professional Engineer.
Reference forms must be mailed directly to the NC Board office in sealed envelopes with the reference's signature across the back flap.
Name PE/PLS Licensed State

Background

  1. Have you previously applied for certification as an EI in North Carolina?
  2. Have you previously applied for certification as an EI or licensure in any other state and been denied?
    You must upload details in PDF format below.
  3. Have you ever been disciplined on any professional license?
    You must upload details in PDF format below.
  4. Have you ever been convicted of a felony?
    You must upload proof of restoration of civil rights in PDF format below.
  5. Have you ever been convicted of a misdemeanor? (Do not include traffic violations.)
    You must upload details in PDF format below.
  6. Are you a U.S. citizen?
    Provide detailed explanation of legal status in PDF format below.
  7. Did you take the computer-based Fundamentals of Engineering examination?
    If the applicant took a written exam, the applicant must have the examination verification sent directly to the North Carolina board from NCEES or the verifying board.
  8. Does NCEES have an official verified transcript from your educational institution?
    The applicant must have the educational institution send an official transcript to the Board either by mail or e-mail (dtaylor@ncbels.org).



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