INSTRUCTION SHEET
Professional Engineer
Fundamentals of Engineering - Examination
Enrolled Engineer Intern - Acceptance of Examination
Principles and Practice - Examination
 Licensure - Acceptance of Examination
Endorsement
Restoration
Do NOT Use This Application:
 To apply for licensure as a strucural engineer OR
 To take the Fundamentals of Engineering examination after graduating with a baccalaureate degree from an
ABET-EAC accredited engineering program OR
 To take the Fundamentals of Engineering examination if you are in the final year of a baccalaureate degree program
from an ABET-EAC accredited engineering program OR
 If your degree is a Technology degree. A degree in engineering technology does not meet the educational requirements
in Illinois.
Table of Contents
Page #
General Information ...................................................................................................................................1-2
Step I - Application Licensure/Examination .......................................................................................... 3
Step II - Supporting Documents ........................................................................................................4-5
Step III - Fees ....................................................................................................................................... 5
Step IV - Mail Application ...................................................................................................................... 6
Step V - Need Assistance ..................................................................................................................... 6
Fundamentals of Engineering - Examination ................................................................................................ 6
Enrolled Engineer Intern - Acceptance of Examination ................................................................................ 7
Principles and Practice - Examination .......................................................................................................... 8
Acceptance of Examination - Licensure ....................................................................................................... 9
Endorsement ...........................................................................................................................................9-10
Restoration ....................................................................................................................................................11
Study Materials and Refresher Courses ......................................................................................................12
Abbreviations Used Throughout this Document:
National
 Council of Examiners for Engineering and Surveying (NCEES)



Board for Engineering Technology (ABET)
 Accreditation

 Engineering Accreditation Committee (EAC)
NOTE: If you graduated with a baccalaureate degree from a domestic (ABET-EAC) accredited engineering program DO NOT
USE THIS APPLICATION to register or for approval to take any NCEES engineering examination; proceed directly to the
website of Continental Testing Services, Inc. to register for the engineering examinations.
NOTE: The Division licenses Professional Engineers in Illinois pursuant to the provisions of the Professional Engineering
Practice Act of 1989 and Administrative Rules. The Division licenses Structural Engineers pursuant to the provisions of the
Structural Engineering Practice Act of 1989. The regulations are independent and unique, and each requires a unique and separate: Application, supporting documents, and fee.
Additional application forms can be downloaded from the IDFPR Web site at www.idfpr.com.
DPR-I-PE -- Instructions Revised 9/14
Packet Updated 7/13/16
Use This Application:
 For approval to take the Fundamentals of Engineering and/or the Principles and Practice of
Engineering examination(s) - ALL APPLICANTS who graduated with a baccalaureate degree from a nonapproved engineering program including foreign degrees approved by ABET or a related science curriculum
OR
 To apply for ENROLLMENT as an Engineer Intern - ALL APPLICANTS who graduated with a
baccalaureate degree from a non-approved engineering program or a related science curriculum and
have passed the Fundamentals of Engineering examination. OR
 To apply for LICENSURE by acceptance of examination - ALL APPLICANTS who have satisfied the
education, experience, and examination requirements and are not licensed in another state or territory OR
 To apply for LICENSURE by Endorsement (for those actively licensed in another state or territory) OR
 To apply for RESTORATION of licensure.
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
Firm Registration Required
Any corporation, professional service corporation, partnership, limited liability partnership, or limited liability company which includes in its stated purposes, practice, or holds itself out as available to practice professional engineering is required by Illinois statute to register as a Professional Design Firm with the Department. Authority to transact
business in Illinois must be obtained from the Illinois Secretary of State's office prior to registering with the Department.
Any sole proprietorship owned by an Illinois licensed professional engineer and conducting business under an assumed name (a name other than the real name of the sole proprietor) shall register as a Professional Design Firm.
Any general partnership which includes in its stated purpose, practice, or holds itself available to practice professional engineering shall register as a Professional Design Firm.
A separate Professional Design Firm application and fee is required.
GENERAL INFORMATION
To apply under the provisions of the Illinois Professional Engineering Practice Act of 1989, read and follow
each of the steps in the order they are listed. This will aid you in accurately completing your application and thus,
eliminate delays in processing. The application which you submit is valid for 3 years from date of receipt. If you are
issued a license, please be advised your license will expire on November 30 of each odd-numbered year and must
be renewed at that time.
Note: The Division licenses Professional Engineers in Illinois pursuant to the provisions of the Professional Engineering Practice Act of 1989 and Administrative Rules. The Division licenses Structural Engineers pursuant to
the provisions of the Structural Engineering Practice Act of 1989. The regulations are independent and unique, and
each requires a unique and separate application, supporting documents, and fee.
Applicants must complete the 4-page Application for Licensure/Examination and submit it with the supporting
documents required by the method under which application is being made.
Do not utilize this application if you are offering only structural services.
Professional Engineer - Page 2
Step I -
Complete the four-page Application for Licensure/Examination as follows:
Part 1A - Application Category Information - Select method of application and complete Part 1A as indicated below:
Profession Name:
Professional Engineer OR Engineer Intern
Profession
Code
Licensure Method
Fee
Fundamentals of Engineering
061
Examination
$20 *
Enrolled Engineer Intern
061
Acceptance of
Examination
Principles and Practice of Engineering
062
Examination
$100 *
Fundamentals of Engineering AND
Principles and Practice of Engineering
Examinations (FULL)
062
Examination
$100 *
Professional Engineer
062
Acceptance of
Examination
$100
Professional Engineer
062
Endorsement of License
$100
Professional Engineer
062
Restoration of License
*See attached Reference Sheet for filing deadline
$20
**
**See Supporting Document RS for fee amount.
Part 1B - Check the box indicating the appropriate information regarding your application.
Part II - Applicant Identifying Information - Enter all applicable information requested. You must include your social
security number in Part II, box number three (3).
Part III - Education Information:
 Numbers 1 through 5 - Enter all applicable information requested.
 Number 6 - Indicate all post secondary education. Please indicate beginning and
ending dates by month/year.
Part IV - Record of Licensure Information - Enter all applicable information requested if you have ever held a license
as a professional engineer, engineer intern, or a related license.
Part V - Record of Examination - Enter dates (month/year) that you passed the Fundamentals and/or Principles
and Practice of Engineering examinations or any other licensing examination in Illinois or any other jurisdiction, indicate this in Part V (page
three) of the application.
Part VI - Personal History Information - Must be completed by all applicants.
Part VII - Examination Coding Information - DO NOT COMPLETE PART VII (page four) of the Application for Licensure and/or Examination.
Part VIII - Child Support & Student Loan Information - Must be completed by all applicants.
Part IX - Certifying Statement - Read the certifying statement then sign and date your application.
Professional Engineer - Page 3
Step II - Supporting Documents
All foreign-educated applicants (except those licensed prior to January 1, 1996 applying for licensure)
must provide:
 A course-by-course evaluation report of your foreign educational credentials from the NCEES Credentials
Evaluation or the Engineering Credentials Evaluation International (ECEI) or the American Association of
Collegiate Registrars and Admissions Officers (AACRAO). Official transcripts must be forwarded directly to
the NCEES or the AACRAO from the educational institution.
Note: The Board has only approved the NCEES Credentials Evaluation and the ECEI, a division of the Accreditation Board for Engineering and Technology (ABET) for evaluation of foreign engineering baccalaureate
degrees; AACRAO for related science or non-approved baccalaureate degrees.
 Proof of completion of the Test of English as a Foreign Language internet Based Test (TOEFL-iBT) with a
minimum integrated score of 88 and a minimum score of 26 on the speaking module, or the Test of English
as a Foreign Language (TOEFL) with a score of 550 for the paper-based examination or 213 for the computer based test, AND the Test of Spoken English (TSE) with a score of 50 for all applicants who graduated
from an engineering program outside the United States or its territories and whose first language is not
English. In order to determine countries whose first language is English, the applicant shall submit
verification from the college or university that the engineering program from which the applicant graduated
was taught in English.
NCEES Credentials Evaluation – www.ncees.org
Mailing Address: NCEES
P.O. Box 1686
Clemson, SC 29633
OR
The Engineering Credentials Evaluation International (ECEI).
Engineering Credentials Evaluation International
111 Market Place #1050
Baltimore, MD 21202
Ph – (410) 347-7700; FAX – (410) 625-2238;
E-mail: international-relations@abet.org;
Website: www.abet.org/ecei/
Although ECEI no longer accepts new applications for evaluations, if you previously obtained an ECEI evaluation,
you may contact them to request a duplicate evaluation to be submitted to:
The Department of Financial & Professional Regulation
320 West Washington Street, 3rd Fl /Design Unit
Springfield, IL 62786
To obtain an evaluation for a related science or a non-engineering baccalaureate degree contact American Association of Collegiate Registrars & Admissions Officers (AACRAO):
American Association of Collegiate Registrars & Admissions Officers
One DuPont Circle NW, Suite 520
Washington, DC 20036-1110
Telephone: 202-293-9161
Website: www.aacrao.org
Professional Engineer - Page 4
Step II - Supporting Documents continued
To obtain information about TOEFL-iBT, TOEFL, and TSE testing contact:
TOEFL Services
Educational Testing Service
P.O. Box 6151
Princeton, NJ 08541-6151 USA
Telephone: (609) 771-7100 or (877) 863-3546
Fax: (610) 290-8972
www.ets.org
OR
TOEFL Services (25Q-310)
Distribution and Receiving Center
225 Phillips Boulevard
Ewing, NJ 08628-7435 USA
The Department will ONLY accept TOEFL and TSE or TOEFL-iBT. Other services for a test of English are
not acceptable.
Education qualifications are based upon the 4-year baccalaureate degree.
Note: Applicant’s engineering experience will be evaluated by the Board/Department if submitted in conjunction with
the application for examination enrollment, or licensure.
Experience credit may be given for completion of:
 Qualifying graduate study AND/OR
 Participation in a co-operative program AND/OR
 Teaching professional engineering courses at a college or university.
An applicant claiming experience credit for graduate study must submit:
 Official transcripts showing all coursework, with school seal affixed.
An applicant may receive one year of experience credit for:
 Completion of a master’s degree in engineering (if the coursework is not applied to satisfy the
minimum requirements of a basic engineering or related science degree) OR
An applicant may receive two years of experience credit for:
 A doctor’s degree in engineering if the coursework is not applied to satisfy the minimum
requirements of a basic engineering or related science degree. Maximum credit given for
graduate study is two years.
Overlapping experience and education will be credited to one or the other, not both.
An applicant claiming one year experience credit for participation in a co-operative program must provide:
 An official transcript which reflects one calendar year of co-op and
 A VE-PNG form filled out and completed by supervisor during the co-operative period.
An applicant claiming experience credit for teaching professional engineering courses must submit:
 VE-PNG form completed by the university identifying the engineering courses the applicant
taught and dates of employment.
Step III - Fee - Payment must be in the form of a check or money order made payable to :
Illinois Department of Financial and Professional Regulation
Professional Engineer - Page 5
Step IV - Mail Application - Forward 4-page application, supplemental documents, and fee to:
Illinois Department of Financial and Professional Regulation
ATTN: Division of Professional Regulation, Design/PSS4
P.O. Box 7007
Springfield, Illinois 62791
Step V - Need Assistance
Phone (800) 560-6420
TTY (866) 325-4949
Please allow 3 weeks from mailing your application before making an inquiry concerning its status.
FUNDAMENTALS OF ENGINEERING – EXAMINATION
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
Do not use this form if you are:
 In the senior year of an ABET (EAC) accredited baccalaureate curriculum OR
 A graduate with an ABET (EAC) accredited baccalaureate degree OR
 Applying to retake an examination

For those in the categories above, apply directly to Continental Testing Services, Inc.
Use this form if you are:
A graduate of a non-approved engineering baccalaureate curriculum or a related science baccalaureate curriculum OR
A graduate whose baccalaureate degree was granted from outside the United States or a territory of the United States.
To qualify for the examination you must satisfy the education requirements PRIOR TO REVIEW BY THE BOARD.
In addition to the 4-page Application for Licensure/Examination mentioned in Step 1 and the fee amount as indicated
in STEP I PART 1A of the general information found on page 3, you must comply with one of the following to
substantiate your qualifications:
If you graduated with a baccalaureate degree in a non-approved engineering curriculum or a related science degree
curriculum, the following documents must accompany your application and fee;
 An original official transcript indicating conferral of the baccalaureate degree and listing all course work
completed for your degree with school seal affixed.
If you are a foreign-educated graduate (baccalaureate degree), submit the supporting documents required in Step II,
page 4 with your application and fee.
Professional Engineer - Page 6
ENROLLED ENGINEER INTERN – ACCEPTANCE OF EXAMINATION
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
Do Not Use This Form If You:
Passed the Fundamentals of Engineering examination during the senior year at an ABET (EAC) program.
Complete and submit the Notification of Exam Score, mailed to you from Continental Testing Service,
pursuant to the instructions on the form.
Use This Form If You:
1) Are a graduate of an ABET (EAC)-approved program and have passed the Fundamentals of Engineering in
another jurisdiction, the following documents must accompany your application and fee.
 An original official transcript indicating conferral of the degree and listing all coursework completed for your
baccalaureate degree with school seal affixed.
 Supporting document CT-ENG must be completed by the jurisdiction where you passed the Fundamentals
of Engineering exam, along with all pertinent examination information. The CT-ENG form may be submitted
with your application, or request the Agency/Board to mail the document directly to this Department.
2) Are a graduate of a non-approved engineering curriculum or a related science baccalaureate degree and
were approved by the Department to sit for the Fundamentals examination under Section 1380.240 of the
Rules and have completed 4 years of engineering experience subsequent to the conferral of baccalaureate
degree. The following documents must accompany your application:
 An original official transcript indicating conferral of the degree and listing all coursework completed for your
baccalaureate degree with school seal affixed.
 Supporting Document VE-PNG must be completed to provide verification of your employment/experience
and must document at least 4 years experience in engineering work subsequent to receipt of baccalaureate
degree. A separate VE-PNG must be submitted for each employer. This document must be filled out and
completed by your supervisor/employer and returned to the Department by the supervisor/employer or
returned to you in a sealed envelope and included with the application.
 Supporting documentation of graduate study or co-op as set forth in Step II, page 5 of general instructions.
3) Are a foreign educated graduate (baccalaureate degree), and you have completed the 4 years of engineering
experience since the conferral of the baccalaureate degree. The following documents must accompany
your application and fee:
 Evaluation of baccalaureate degree as stated in Step II, page 4.
 Proof of TOEFL-iBT as stated in Step II, page 4.
 Supporting Document VE-PNG must be completed to provide verification of your employment/experience
and must document at least 4 years experience in engineering work subsequent to receipt of baccalaureate
degree. A separate VE-PNG must be submitted for each employer. This document must be filled out and
completed by your supervisor/employer and returned to you in a sealed envelope and included with the
application.
Professional Engineer - Page 7
PRINCIPLES & PRACTICE OF ENGINEERING – EXAMINATION
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the fee unless otherwise directed.
Do Not Use This Form If You:
 Graduated from an ABET(EAC) baccalaureate curriculum OR
 Are enrolled as an Illinois Engineer Intern OR
 Were previously approved by the Department on the basis of education to take the Fundamentals of
Engineering or the Principles and Practice examination.
Note: The above applicants can sit for the Principles and Practice of Engineering examinations; and if qualified
by education and experience, may then apply for licensure in Illinois by Acceptance of Examination.
UseThis Form If You:
 Graduated from a non-approved engineering baccalaureate curriculum or a related science
baccalaureate curriculum OR
 Graduated with a baccalaureate degree from outside the United States or a territory of the United States.
Note: Applicants will be notified by the Department regarding examination eligibility after review by the Board.
To qualify for the examination you must satisfy the education requirements PRIOR TO REVIEW BY THE BOARD.
In addition to the four-page written application and fee, submit the following documentation:
Supporting document(s) for education – You must comply with one of the following to substantiate your
engineering education qualifications:
You are a graduate with a baccalaureate degree from a non-approved engineering program or a related
science curriculum:
 An original official transcript indicating conferral of the baccalaureate degree and listing all
course work completed for your degree with school seal affixed. It is suggested that you also
submit official transcripts of all post-baccalaureate level course work, since course work may be
applicable to substantiate your eligibility. OR
If you are a foreign-educated graduate (baccalaureate degree), the following documents must accompany
your application and fee:
 A course by course evaluation as stated in Step II, page 4
 TOEFL-iBT as stated in Step II, page 4.
 Supporting document CT-ENG is required if you hold a certificate of enrollment as an Engineer
Intern or licensure as a professional or a structural engineer in another state or territory of the
United States. The supporting document must be completed by the jurisdiction where
you passed the Fundamentals of Engineering exam, along with all pertinent examination
information. The CT-ENG form may be submitted with your application, or the Agency/
Board may mail the document directly to this Department.
Note: If you are enrolled as an Engineer Intern, or licensed as a Structural Engineer in the State of
Illinois, you must indicate this licensure in PART IV (page three) of the Application for Licensure and/or
Examination for it to be considered. Supporting Document CT-ENG from Illinois is not required.
Professional Engineer - Page 8
LICENSURE – ACCEPTANCE OF EXAMINATION
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
Do NOT submit a new application to the Department unless your previous application has expired. If your previous
application has expired, you are required to submit all documents listed below and satisfy the requirements in force
at the time of reapplication.
To qualify for licensure you must satisfy the experience requirements PRIOR TO REVIEW BY THE BOARD.
You must submit the following documents:
 Application for Licensure or Examination.
 Supporting Document VE-PNG form must be completed to provide evidence that your professional engi-
neering experience satisfies the requirements for licensure as described in Section 1380.230 (APPROVED
EXPERIENCE). Applicants who graduated from an ABET-EAC approved program with a baccalaureate
degree must provide four (4) years of engineering experience subsequent to the conferral of baccalaureate
degree. Applicants who graduated from a non-approved engineering program or a related science with a
baccalaureate degree must provide eight (8) years of engineering experience subsequent to the conferral of
baccalaureate degree. A separate VE-PNG form must be submitted for each employer. This document must
be completed by your supervisor/employer and returned to you in a sealed envelope and included with the
application.
 Supporting documentation of graduate study or co-op as set forth is Step II, page 5 of general instructions.
 Supporting document CT-ENG must be completed by the jurisdiction(s) where you passed the Fundamen-
tals of Engineering exam and the Principles and Practice exam, along with all pertinent examination information. The CT-ENG form may be submitted with your application, or request the agency/board to mail the
document directly to this Department. A CT-ENG must be submitted from each jurisdiction where an exam
was passed. (If you passed either or both the exams in Illinois, this is not required).
 Fee in the form of a check or money order made payable to the Illinois Department of Financial and Profes-
sional Regulation. Fee amount is indicated in STEP I - PART 1A of general information.
ENDORSEMENT OF LICENSURE
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
Illinois issues separate licenses for Professional Engineer and Structural Engineer. A structural engineer license is
required to practice structural engineering in Illinois. (Separate application and examination is required.)
Do not utilize this application if you are offering structural services.
To apply for licensure by endorsement, you MUST hold an ACTIVE license/registration as a Professional Engineer
in another U.S. jurisdiction and must have met Illinois requirements at the time of original or subsequent licensure.
The following documents must be submitted:
 Properly completed 4-page Application for Licensure/Examination (See page 2). Do not state “See NCEES
Record” on the application form.
 Supporting documentation of graduate study or co-op as set forth in Step II, page 5, of the general
instructions.
Professional Engineer - Page 9
ENDORSEMENT OF LICENSURE CONTINUED
 Foreign-educated applicants licensed in another jurisdiction must submit a course-by-course evaluation
report of their foreign education credentials, and TOEFL-iBT as stated in Step II, page 4.
 NCEES Council Record issued by and forwarded directly to the Department by the NCEES OR the
documents listed in (1) (2) and (3) below. (NOTE: If you submit an NCEES Council Record, you may be
required to submit additional documents).
1) You must comply with one of the following to substantiate your professional engineering education
qualifications:
 You are a graduate with a baccalaureate degree from an ABET (EAC) approved engineering
program and have acquired a minimum of four (4) years of engineering experience ubsequent to the
conferral of baccalaureate degree; an official transcript indicating baccalaureate degree awarded and
conferral date with school seal affixed.
 You are a graduate of a non-approved engineering program or related science curriculum and have
acquired a minimum of eight (8) years of engineering experience subsequent to the conferral of
baccalaureate degree; an official transcript indicating all course work completed for your baccalaure
ate degree from the college/university attended, with school seal affixed. It is suggested that
you also submit official transcripts of all post-baccalaureate level coursework, since this coursework
may be applicable to substantiate your eligibility.
 You are a graduate of an institution located outside the United States and have acquired eight (8)
years of engineering experience after conferral of your baccalaureate degree. A course-by-course
evaluation of your foreign educational course work (if applicable) or an official transcript must be
submitted.
2) Supporting Document VE-PNG must be completed to provide verification of your employment/experience.
 The VE-PNG form must be completed by your supervisor/employer and returned to you in a sealed
envelope to be submitted with your application. A separate VE-PNG form is required for each
employer.
3) Supporting Document CT-ENG is required if you hold a certificate of enrollment as an Engineer Intern or registration as a Professional Engineer or Structural Engineer in another state(s) or territory(ies) of
the United States.
 The supporting document CT-ENG must be completed by the jurisdiction of original licensure and
the jurisdiction of current licensure where you predominately practice. If examinations were passed
in different jurisdictions, verification from each jurisdiction is required. If an examination was passed
in Illinois, a CT-ENG from Illinois is not required. You must indicate the same in Part IV of the
application. You are authorized to photocopy this document if necessary. The licensing Agency/
Board can return the completed document to you in a sealed envelope to be submitted with your
application or mail it directly to this Department.
Fee in the form of a check or money order made payable to the Illinois Department of Financial and Professional
Regulation. Fee amount is indicated on Reference Sheet - Non-examination.
Professional Engineer - Page 10
RESTORATION
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the required fee unless otherwise directed.
To restore your Illinois Professional Engineer license which has expired more than five years, you must submit the
application, supporting documents and fee as listed below. Based on the Illinois State Board of Professional
Engineers’ evaluation of your application, you may be required to submit additional documentation or appear for
a personal interview.
The following documents must be submitted:
 Properly completed 4-page Application for Licensure/Examination (see page 3).
 Supporting Document RS must be completed. If this form was not included in the application packet, you
must obtain one by contacting the Department of Financial and Professional Regulation at 1-800-560-6420.
 Supporting Document CT-ENG must be completed by the jurisdiction of current licensure where you have
most recently been practicing. You are authorized to photocopy this document, if necessary. The licensing
Agency/Board can return the completed document to you in a sealed envelope to be submitted with your
application or they may mail it directly to this Department.
 Supporting Document VE-PNG must be completed to provide verification of your employment/professional
experience for at least the last 2 years, or other evidence of continued competency in professional engineering which may include:
a) Proof of passage of the Principles and Practice of Engineering examination within the last 5 years;
b) Lawfully practicing professional engineering as an employee of a governmental agency;
c) Teaching professional engineering in a college or university;
 If restoring after active military service, submit a copy of DD214.
 All applicants for restoration of a professional engineer license in Illinois must submit proof of having com-
pleted 30 professional development hours in accordance with Section 1380.325 of the Rules for Administration of the Professional Engineering Practice Act of 1989 within 24 months prior to restoration. This must
be verified by the submission of certificates of attendance provided by acceptable providers of structured
educational programs.
 Fee in the form of a check or money order made payable to the Department of Financial and Professional
Regulation. Fee amount is indicated in the "Official Use Only" box of Supporting Document RS.
~ IMPORTANT NOTICE ~
These Restoration instructions apply only to those professional engineers whose licenses have been on inactive
status, or in not-renewed status, for five or more years.
If your license has been inactive, or in not-renewed status, for less than five years, you should contact the
Department of Financial and Professional Regulation at 1-800-560-6420 for detailed instructions on how to
restore it to active status.
Professional Engineer - Page 11
Study Materials And Refresher Courses
Examination specifications (content and format) for the Fundamentals of Engineering Examination and the various
engineering disciplines for the Principles and Practice of Engineering Examination are available from the NCEES
web site at www.ncees.org.
The National Council of Examiners for Engineering and Surveying (NCEES) has prepared study guides for the
Fundamentals of Engineering Examination and for the Principles and Practice of Engineering Examination. To
order these study guides, contact NCEES at:
National Council of Examiners for Engineering and Surveying
P.O. Box 1686
Clemson, SC 29633-1686
Telephone Number: 864-654-6824 or
Toll-free Telephone Number: 800-250-3196
FAX: 864-654-6966
Website: www.ncees.org
For information regarding refresher courses, contact:
Illinois Society of Professional Engineers, Inc. (ISPE)
100 East Washington Street
Springfield, Illinois 62701
Phone: 217-544-7424
Fax: 217-528-6545
Email: info@IllinoisEngineer.com
Website: www.illinoisengineer.com
Professional Engineer - Page 12
REFERENCE SHEET ~ EXAMINATION - A
ALL FEES ARE NONREFUNDABLE
Department reserves the right to change examination dates, filing deadlines, and fees if prevailing circumstances necessitate such action.
CHART I - PROFESSION NAME, PROFESSION CODE, LICENSURE METHOD & FEE
This chart contains fee information for the examination only. If you require the application fee for licensure by endorsement of a license issued in another jurisdiction, contact the Department.
PROFESSION NAME
PROFESSION
CODE
LICENSURE
METHOD
APPLICATION
FEE
Professional Engineer
062
Examination (CTS)
$120.00
Principles and Practice examination: Requirement: Graduated from US ABET EAC accredited BS degree program.
Professional Engineer
062
Application (IDFPR)
$100.00
Examination (CTS)
$120.00
Principles and Practice examination: Requirement: Not a graduate from US ABET EAC accredited BS degree program.
An application submitted without the application fee will be returned for resubmission with the appropriate fee.
CHART II - EXAMINATION CODES AND FEES
ALL APPROVALS ARE BASED UPON THE BS DEGREE! For a graduate from either a non-US based ABET EAC
accredited BS degree program or a Related Science degree, the first requirement is submittal of a written application to the Department for Board review. If approved, the applicant may then proceed to sign up in the same
manner as those who have an approved degree.
For those with an approved degree (by Illinois definition), the application for examination is a dual process. You
must:
Register for the examination through the Internet on the NCEES website (www.ncees.org) and receive an NCEES ID
number; and
Complete the Department's licensure/examination application by applying online at www.continentaltesting.net .
Once you have completed all processes and are determined eligible you will receive:
An Authorization to Test (ATT) that will contain the necessary information to schedule yourself for this examination.
EXAMINATION
Principles and Practice of Engineering
TEST CODES
07
TEST FEES
$373.00 (CTS)
If you were approved to take the full examination but apply only to take the Fundamentals of Engineering examination,
continue to use profession code 062.
DPR-PE062-A 2/16
Reference Sheet A - Page 1 of 3
CHART III - EXAMINATION DATES AND FILING DEADLINES
For the Principles and Practice of Engineering Examinations:
If you do not have an ABET-EAC BS degree, you must be approved by the Department in order to sit for any examination.
Any applicant that does not have a US-based ABET EAC accredited degree must be presented to the Board for review
and approval. The deadline for receiving these applications in the Department are:
November 15, 2015 for the April 2016 examination
May 15, 2016 for the October 2016 examination
If you do have a US-based ABET-EAC accredited BS degree, you may register directly with NCEES and Continental
Testing Services, Inc. for the examination. The deadline for receiving these applications in the Department are:
February 2, 2015 = April Examination
August 17, 2015 = October Examination
TEST DATES
*APPLICATION FILING DEADLINES
AVAILABLE
TEST CENTER
April 15, 2016
February 1, 2016
Chicago Area
Champaign
Peoria
Carbonbdale
6201
6202
6203
6204
August 15,2016
Chicago Area
Champaign
Peoria
Carbonbdale
6205
6206
6207
6208
October 28, 2016
TEST CENTER
CODE
APPLICATION FILING DEADLINES WILL BE STRICTLY ENFORCED, NO EXCEPTIONS
* Application must have been received in Continental Testing Services by this date.
If the examination final filing dates provided have expired, you may call the Department of Financial and Professional Regulation at 1-800-560-6420 (push "8" for Design Professions) for updated examination/administration
dates and applicable filing dates.
SEE NEXT PAGE FOR CHART IV - SCHOOL CODES
DPR-PE062-A 2/16
Reference Sheet A - Page 2 of 3
CHART IV - SCHOOL CODES
APPROVED ILLINOIS ENGINEERING PROGRAMS
BRADLEY UNIVERSITY
061008001 - Civil Engineering
061008002 - Electrical Engineering
061008003 - Industrial Engineering
061008004 - Mechanical and Materials Engineering
061008005 - Manufacturing Engineering
ILLINOIS INSTITUTE OF TECHNOLOGY
061001001 - Chemical Engineering
061001002 - Civil Engineering
061001003 - Electrical Engineering
061001004 - Mechanical Engineering
061001005 - Materials Science and Engineering
061001006 - Aerospace Engineering
061001007 - Computer Engineering
061001008 - Architectural Engineering
061001009 - Biomedical Engineering
UNIVERSITY OF
061002001 061002002 061002003 061002004 061002005 061002008 061002010 -
ILLINOIS - CHICAGO
Bioengineering
Chemical Engineering
Civil Engineering
Computer Engineering
Electrical Engineering
Industrial Engineering
Mechanical Engineering
NORTHWESTERN UNIVERSITY
061004001 - Biomedical Engineering
061004002 - Chemical Engineering
061004003 - Civil Engineering
061004004 - Electrical Engineering
061004005 - Environmental Engineering
061004006 - Industrial Engineering
061004007 - Materials Science and Engineering
061004008 - Mechanical Engineering
061004009 - Computer Engineering
061004010 - Manufacturing and Design Engineering
PARKS COLLEGE OF ST. LOUIS UNIVERSITY
061005001 - Aerospace Engineering
061005002 - Electrical Engineering
061005003 - Mechanical Engineering
061005004 - Bio Medical
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
061006001 - Electrical Engineering
061006003 - Mining Engineering
061006005 - Civil Engineering
061006006 - Mechanical Engineering
061006007 - Computer Engineering
UNIVERSITY OF ILLINOIS - URBANA
061003001 - Aerospace Engineering
061003002 - Agricultural Engineering
061003004 - Chemical Engineering
061003005 - Civil Engineering
061003006 - Computer Engineering
061003007 - Electrical Engineering
061003008 - Engineering Mechanics
061003009 - General Engineering
061003010 - Industrial Engineering
061003011 - Mechanical Engineering
061003013 - Nuclear Engineering
061003014 - Materials Science and Engineering
061003015 - Agricultural and Biological Engineering
WESTERN ILLINOIS UNIVERSITY - MACOMB
061012001 - General Engineering
SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE
061007001 - Civil Engineering
061007002 - Electrical Engineering
061007003 - Industrial Engineering
061007004 - Mechanical Engineering
061007005 - Computer Engineering
061007006 - Manufacturing Engineering
NORTHERN ILLINOIS UNIVERSITY - DEKALB
061009001 - Electrical Engineering
061009002 - Industrial Engineering
061009003 - Mechanical Engineering
OLIVET NAZARENE UNIVERSITY
061011001 - Engineering
ALL OTHER PROGRAMS COLLEGES AND
UNIVERSITIES
061999999
REQUEST FOR ASSISTANCE
If assistance is needed, direct your request to one of the following telephone numbers:
Licensure Methods Except Examination (US ONLY)
1-800-560-6420 (option 8)
TTY
Examination Licensure Method Only
708/354-9911
1-866-325-4949
Please allow 6 weeks from mailing your application before making
an inquiry concerning its status.
DPR-PE062-A 2/16
Reference Sheet A - Page 3 of 3
Illinois Department of Financial and Professional Regulation
Division of Professional Regulation
Application Checklist for Professional Engineers
In order for your application to be processed,
ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
with the application and required fee unless otherwise directed in the instructions.
Before you mail your application, check the following items to make sure your application is complete!
FOUR-PAGE APPLICATION REVIEW
COMPLETED
Application Fee
SUPPORTING DOCUMENTS
SUBMITTED
NCEES Council Record or (education, employment and licensure as noted below)
Proof of Education (official transcripts)
Verification of Employment (VE-PNG) Form from:
Certification of Licensure/Examination (CT-ENG) from original state of licensure and
current state of licensure, including each state where examinations were passed:
TOEFL and TSE or TOEFL-iBT examination results
NCEES Credentials Evaluation, ECEI (engineering degree) or AACRAO
(non-engineering degree) evaluation of foreign educational credentials
Form RS, if applicable. (NOTE: If restoring, verification of at least the last 2 years
of engineering experience must be submitted on VE-PNG.)
Copy of DD214 if restoring license from active military service
All supporting documents may not be required. Please refer to application instructions
for your specific method of licensure.
IL486-1971 (PE) 08/09
FOR OFFICIAL USE ONLY
APPLICATION FOR
LICENSURE AND/OR EXAMINATION
IMPORTANT NOTICE: Completion of this form is necessary for consideration for licensure
under 225 of the Illinois Compiled Statutes. Disclosure of this information is VOLUNTARY.
However, failure to comply may result in this form not being processed.
The following materials are required to make Application for
Licensure and/or Examination in Illinois:
Carefully follow all steps outlined on the INSTRUCTION SHEET. In
addition, note the following:
1.
A. Type or print legibly with black ink only.
Four page APPLICATION FOR LICENSURE AND/OR
EXAMINATION.
2. INSTRUCTION SHEET, which gives step by step application instructions for your profession.
3. REFERENCE SHEET, which gives detailed coding
information for your profession.
4. SUPPORTING DOCUMENTS, forms, and/or any other
documentation you may be required to submit with
your application.
5. If the name shown on your supporting documents is different from that shown on your application, you must submit
PROOF OF LEGAL NAME change - copy of marriage
license, divorce decree, affidavit or court order.
PART I: Application Category Information
B. FEES ARE NOT REFUNDABLE.
C. Disclosure of your U.S. social security number, if you have one, is
mandatory, in accordance with 5 Illinois Compiled Statutes 100/10-65
to obtain a license. The social security number may be provided to
the Illinois Department of Public Aid to identify persons who are more
than 30 days delinquent in complying with a child support order, or
to the Illinois Department of Revenue to identify persons who have
failed to file a tax return, pay tax, penalty or interest shown in a filed
return, or to pay any final assessment or tax penalty or interest, as
required by any tax Act administered by the Illinois Department of
Revenue, or to other entities for verification of identification.
A. SEE REFERENCE SHEET, CHART I, OR INSTRUCTIONS PRIOR TO COMPLETING ITEMS 1 THROUGH 4
3. LICENSURE METHOD
1. PROFESSION NAME
2. PROFESSION CODE
4. FEE
$
B. CHECK BOX INDICATING THE APPROPRIATE INFORMATION REGARDING YOUR APPLICATION
This is the first time I have made application for this
profession in Illinois.
My application for this profession had previously been denied
in Illinois. I am reapplying since I have fulfilled additional
requirements.
I have previously made application for this profession in
Illinois. However, my previous application expired and I
am now reapplying.
I have previously made application for this profession in
Illinois. However, I am now applying under new statutory
language.
Other:
PART II:
1. NAME
Applicant Identifying Information--You must notify the Department of Financial and Professional Regulation Division of Professional Regulation and/or Continental Testing Service in writing, of any address changes after you
file this application in order to receive any further information.
LAST
FIRST
4. PERMANENT MAILING ADDRESS
5. BUSINESS ADDRESS
MIDDLE
STREET
STREET
2. TITLE (e.g., M.D., D.D.S., etc.)
CITY
STATE/COUNTRY
ZIP CODE
COUNTY
CITY
STATE/COUNTRY
ZIP CODE
COUNTY
7. MOTHER'S MAIDEN NAME
6. MAIDEN, GIVEN SURNAME, OR ANY NAME(S) UNDER WHICH SUPPORTING
DOCUMENTS WILL BE SUBMITTED. (SEE INSTRUCTIONS #5 ABOVE)
8. PLACE OF BIRTH
CITY
3. UNITED STATES SOCIAL SECURITY NO.
STATE/COUNTRY
10. AGE
9. DATE OF BIRTH
Month
Day
Year
11. TELEPHONE NUMBER WHERE YOU MAY BE REACHED
Work: ( __ __ __ ) __ __ __ __ __ __ __ __
Fax:
( __ __ __ ) __ __ __ __ __ __ __
IL486-1019 07/16 (LT)
REQUIRED
E-MAIL ADDRESS
(Area Code)
__
(Area Code)
12.
Home: ( __ __ __ ) __ __ __ __ __ __ __ __
(Area Code)
Female
Male
Fax:
( __ __ __ ) __ __ __ __ __ __ __ __
(Area Code)
APPLICATION FOR LICENSURE AND/OR EXAMINATION - Page 1 of 4
Additional application forms can be downloaded from the IDFPR Web site at www.idfpr.com.
1. PRELIMINARY EDUCATION (Elementary and High School or G.E.D. Circle number of years completed)
1 2 3 4 5 6 7 8 9 10 11 12
2. NAME OF LAST PRELIMINARY SCHOOL
ATTENDED
Graduated
High School?
Yes
Received
OR G.E.D.?
No
3. LAST PRELIMINARY SCHOOL LOCATION
(City and State)
Yes
No
4. DATE OF GRADUATION
Month
Year
5. COLLEGE OR UNIVERSITY (Circle number of years completed)
1 2 3 4 5 6 7 8
6. COLLEGE OR UNIVERSITY NAME
(Undergraduate and Graduate)
Graduated?
Yes
LOCATION
(City and State or Country)
No
DATES OF ATTENDANCE
FROM
TO
Month/Year
Month/Year
7. SPECIALIZED TRAINING (Residency, Professional Training, Vocational Training, Practical or Clinical Training)
DATES OF ATTENDANCE
LOCATION
INSTITUTION NAME
(City and State or Country)
TO
FROM
Month/Year
IL486-1019
TYPE OF
DEGREE EARNED
Did You Complete
Training?
Month/Year
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
APPLICATION FOR LICENSURE AND/OR EXAMINATION - Page 2 of 4
NAME (Last, First, MI): ______________________________________________SS#: _____________________ Profession: ___________________
PART III: Education Information
If you have ever been licensed to practice the profession for which you are now making application, or held a related license, complete
the information requested below. If you have ever held a temporary, trainee or apprenticeship license, or a permit, it must be listed here
also. In addition, the INSTRUCTION SHEET enclosed with this Application package may instruct you to have Certification(s) of Licensure in other state(s) prepared and submitted in support of your application (contact other state(s) regarding possible fee). You must
also list all other licenses held in Illinois, however, certification of licensure from Illinois is not required. Failure to disclose all licenses
held may result in denial of your application or other appropriate action.
STATE
PROFESSION NAME
LICENSE NUMBER
DATE OF
ISSUANCE
LICENSE STATUS
(Active, Lapsed, etc.)
State of Original Licensure
State of Current Licensure where you
most recently have been practicing.
Other States of Licensure
(If additional space is needed, attach a separate sheet.)
PART V: Record of Examination
If you have ever taken a licensure examination in Illinois or any other state for the profession for which you are now making
application, you must complete the information requested below. EACH EXAMINATION ATTEMPT MUST BE SHOWN.
Failure to disclose an examination attempt may result in the denial of your application or other appropriate action.
NAME OF EXAMINATION
STATE
MONTH/YEAR
EXAM RESULTS
(Passed, Failed, Absent)
(If additional space is needed, attach a separate sheet.)
IL486-1019
APPLICATION FOR LICENSURE AND/OR EXAMINATION - Page 3 of 4
NAME (Last, First, MI): ______________________________________________SS#: _____________________ Profession: ___________________
PART IV: Record of Licensure Information
YES NO
1. Have you been convicted of or pled guilty or nolo contendere to any criminal offense in any state or in federal court? Please do not give
details on minor traffic charges, but do include information relating to Driving While Intoxicated (DWI) charges. If yes, attach a personal
statement describing the circumstances of the conviction and certified copies of court records of your conviction including the nature of
the offense, date of discharge, and a statement from the probation or parole office. In general, a criminal conviction by itself does not
usually result in denial of licensure.
2. Have you been convicted of a felony? In general, a felony conviction by itself does not usually result in denial of licensure.
3. If yes, have you been issued a Certificate of Relief from Disabilities by the Prisoner Review Board? If yes, attach a copy of the certificate.
4. Do you have any disease or condition that interferes with your ability to perform the essential functions of your profession, including any
disease or condition generally regarded as chronic by the medical community, i.e., (1) mental or emotional disease or condition; (2) alcohol
or other substance abuse; (3) physical disease or condition, that presently interferes with your ability to practice your profession? If yes,
attach a detailed statement, including an explanation whether or not you are currently under treatment.
5. Have you been denied a professional license or permit, or privilege of taking an examination, or had a professional license or permit
disciplined in any way by any licensing authority in Illinois or elsewhere? If yes, attach a detailed explanation.
6. Have you ever been discharged other than honorably from the armed service or from a city, county, state or federal position? If yes, attach
a detailed explanation.
PART VII: Examination Coding Information (This part is for examination applicants only)
Refer to the REFERENCE SHEET enclosed with this application package and complete the following:
a) CHART II -
Select examination(s) you desire
and enter Test Codes.
b) CHART III -
Select the examination site you desire and enter Test Center Code:
c) CHART IV -
Find your School of Graduation and enter school code:
d) Record the number of times you have taken this exam in Illinois or any other state:
PART VIII: Child Support and/or Student Loan Information (Every applicant is required by law to respond to the
following questions)
1.
In accordance with 5 Illinois Compiled Statutes 100/10-65(c), applications for renewal of a license or a new license shall include the applicant's
Social Security number, and the licensee shall certify, under penalty of perjury, that he or she is not more than 30 days delinquent in complying
with a child support order. Failure to certify shall result in disciplinary action, and making a false statement may subject the licensee to
contempt of court.
Are you more than 30 days delinquent in complying with a child support order?
(NOTE: If you are not subject to a child support order, answer "no.")
2.
Yes
No
In accordance with 20 Illinois Compiled Statutes 2105/2105-(5), "The Department shall deny any license or renewal authorized by the Civil
Administrative Code of Illinois to any person who has defaulted on an educational loan or scholarship provided by or guaranteed by the Illinois
Student Assistance Commission or any governmental agency of this State; however, the Department may issue a license or renewal if the
aforementioned persons have established a satisfactory repayment record as determined by the Illinois Student Assistance Commission or other
appropriate governmental agency of this State." (Proof of a satisfactory repayment record must be submitted.)
Are you in default on an educational loan or scholarship provided/guaranteed by the Illinois
Student Assistance Commission or other governmental agency of this State?
PART IX:
Yes
No
Certifying Statement
Under penalties of perjury, I declare that I have examined the application and all supporting documents submitted by me
in connection therewith, and to the best of my knowledge, they are true, correct, and complete.
Signature of Applicant
Date
I UNDERSTAND THAT FEES ARE NOT REFUNDABLE. My signature above authorizes the Department of Financial and Professional
Regulation to reduce the amount of this check if the amount submitted is not correct. I understand this will be done only if the amount
submitted is greater than the required fee hereunder, but in no event shall such reduction be made in an amount greater than $50.
IL486-1019
APPLICATION FOR LICENSURE AND/OR EXAMINATION - Page 4 of 4
NAME (Last, First, MI): ______________________________________________ SS#: _____________________ Profession: ___________________
PART VI: Personal History Information (This part must be completed by all applicants)
IMPORTANT NOTICE: Completion of this
form is necessary for consideration for
licensure under 225 ILCS 340/1 et. seq.
(Illinois Compiled Statutes). Disclosure of this
information is VOLUNTARY. However, failure
to comply may result in this form not being
processed.
APPLICANT:
1.
NAME
SUPPORTING DOCUMENT
CERTIFICATION BY LICENSING
AGENCY/BOARD
CT-ENG
Complete the applicant section of this form then forward this form to the state or territory in which
you are requesting certification of your examination status, license or examination scores. Contact
the certifying jurisdiction for appropriate fee. Photocopying this form is permissable.
LAST
FIRST
MIDDLE
2.
DATE OF BIRTH
3.
SOCIAL SECURITY NUMBER
__ __ / __ __ / __ __ __ __
4.
ADDRESS STREET, CITY, STATE, ZIP CODE
5.
6.
MAIDEN OR GIVEN SURNAME
7.
Month
Day
Year
REFER TO REFERENCE SHEET. Record profession name and three
digit profession code for which you are making Illinois application.
Profession Name
APPLICANT TELEPHONE NUMBER
Area Code (
8.
Profession Code
)
COMPLETE THE FOLLOWING INFORMATION REGARDING YOUR REQUEST, INDICATE ALL PROFESSIONS FOR WHICH A CERTIFICATION IS BEING REQUESTED.
PROFESSION
LICENSE NUMBER
ISSUANCE DATE
Engineer Intern
Professional Engineer
Structural Engineer
I hereby authorize
to furnish to the Illinois Department of
Name of Licensing Agency or Board
Financial and Professional Regulation or its designated testing service, the information requested below.
Signature
LICENSING AGENCY:
Date
The Illinois Department of Financial and Professional Regulation will accept other forms of
certification provided all applicable information requested on this form is contained in the
Certification. Please record N/A in areas which are not applicable. Return the completed
form to the applicant in a sealed envelope to be submitted with the application.
PART I. - CERTIFICATION OF LICENSURE
A. Record the following License Information.
PROFESSION
LICENSE NUMBER
ISSUANCE DATE
EXPIRATION DATE
Engineer Intern
Professional Engineer
Structural Engineer
B. LICENSURE METHOD
Examination (Administered in Your State)
National (Name)
State Constructed
Other (Name)
Endorsement of License (State)
Acceptance of Examination Results
(Administered in Another State)
IL486-0872 04/06 (PE)
Reciprocity with (State)
Education and Experience (If less than 8 years
experience including graduation from ABET
engineering curriculum, detail facts in Part VI
on reverse side.)
Other (Detail facts in Part VI on reverse side.)
CT-ENG Certification by Licensing Agency/Board Page 1 of 2
D. IF LICENSED BY EXAMINATION, INDICATE EXAMINATION
METHOD
Active
Inactive
Lapsed
Other (Explain)
Written
Practical
Oral
Essay
PART II. - CERTIFICATION OF EXAMINATION SCORES
HOURS OF
EXAMINATION
SUBJECT
DATE OF
EXAMINATION
SCORE
Engineer Intern:
NCEES Fundamentals of Engineering
Other:
Professional Engineering:
NCEES Principles and Practice
Other:
Discipline
Structural Engineering:
NCEES Structural I
NCEES Structural II
State Constructed Structural Examination
PART III. - FORMAL ACTIONS
Have there ever been any formal sanctions imposed against the applicant as a matter of public
record including but not limited to fine, reprimand, probation, censure, revocation, suspension,
surrender, restriction or limitation? (If yes, attach a certified copy of disciplinary action.) Yes
No
PART IV. - DETAILED FACTS OF PART III OF THIS FORM
I certify that the information contained herein is true and correct according to the official records of the State.
Print Name
Title
Signature
SEAL
Agency/Board Street Address
Date
Area Code (
City, State, ZIP Code
IL486-0872 04/06 (PE)
)
Telephone Number
CT-ENG Certification by Licensing Agency/Board Page 2 of 2
NAME (Last, First, MI): ______________________________________________SS#: _____________________ Profession: ___________________
C. CURRENT LICENSE STATUS
SUPPORTING DOCUMENT
IMPORTANT NOTICE: Completion of this form
is necessary for consideration for licensure under
225 ILCS 325/1 et. seq. (Illinois Compiled Statutes).
Disclosure of this information is VOLUNTARY. However,
failure to comply may result in this form not being
processed.
APPLICANT:
1. NAME
VERIFICATION OF
EMPLOYMENT / EXPERIENCE
Complete the application section of this form. Forward the form to the professional supervisor from whom you
obtained your experience. Your supervisor must return the completed form to the applicant in a sealed envelope
to be submitted with the application. If additional forms are needed, you are authorized to photocopy this form.
LAST
FIRST
MIDDLE
2. DATE OF BIRTH
__ __ / __ __ / __ __ __ __
4. ADDRESS
VE-PNG
STREET,
CITY,
STATE,
3. SOCIAL SECURITY NUMBER
__ __ __ - __ __ - __ __ __ __
Month
Day
Year
5. REFER TO REFERENCE SHEET. Record profession name and
three digit profession code for which you are making Illinois application.
ZIP CODE
___ ___ ___
Profession Code
Profession Name
6. MAIDEN OR GIVEN SURNAME
7. SUPERVISOR NAME
8. DATES OF EMPLOYMENT
9. EMPLOYER'S NAME AND ADDRESS (STREET, CITY, STATE, ZIP
CODE)
From __ __ / __ __ / __ __ __ __ To __ __ / __ __ / __ __ __ __
Month
Day
Year
Month
Day
Year
TO SUPERVISOR FROM APPLICANT
I am applying for the ___________exam. This form needs to be submitted to the Department by
May 15
Nov. 15
Month and Year
SUPERVISOR: Complete the remainder of this form. Return the completed form to the applicant in a sealed envelope to be submitted with the application.
NOTE:
The supervisor does not have to be licensed, if exempt by statute, but must have direct supervision and control over the engineering activities of the applicant. The Board will rely on your
answers to the following questions in determining whether or not this applicant should be approved to take the examination or issued a license as a professional engineer in Illinois. Please
recognize the importance of this information and give due care to your responses.
PART I - EMPLOYER INFORMATION
A. SUPERVISOR NAME
B. EMPLOYER'S NAME
C. SUPERVISOR'S PROFESSION AND REGISTRATION NUMBER (If
applicable)
D. EMPLOYER'S ADDRESS STREET, CITY, STATE, ZIP CODE
E. STATE OF REGISTRATION
F. EMPLOYER'S TELEPHONE NUMBER
Area Code (___ ___ ___) ___ ___ ___ _ ___ ___ ___ ___
PART II - APPLICANT EMPLOYMENT INFORMATION
B. TOTAL TIME EMPLOYED
A. TYPE OF EMPLOYMENT
Full-time
Part-time
____Years
____Months
C. DATES OF EMPLOYMENT (Use exact dates, not "present")
From __ __ / __ __ / __ __ __ __ To __ __ / __ __ / __ __ __ __
Month
Day
Year
Month
Day
Year
D. DESCRIBE ENGINEERING WORK/PROJECTS IN WHICH THE APPLICANT WAS ENGAGED. SEE DEFINITION ON REVERSE SIDE. (Attach additional sheet if more space is required.)
IL486-1536 04/06 (LT)
VE-PNG Verification of Employment/Experience - Page 1 of 2
E. Record any additional comments that may be beneficial in determining licensure for this applicant.
F. In your opinion, is there any reason why the applicant should not be licensed to practice the profession of professional engineering?
Yes
No If "Yes," explain:
I do hereby declare that this applicant was employed by me or worked under my personal supervision for the time
period(s) listed and that the information I have reported herein is true and correct to the best of my knowledge.
Date
Signature
The definition of Professional Engineering as revised by the 225 Illinois Compiled Statutes 1992, 325/4. Definitions.
In this Act:
(n) "Professional Engineering" means the application of science to the design of engineering systems and facilities using the knowledge, skills,
ability and professional judgment developed through professional engineering education, training and experience.
(o) "Professional Engineering practice" means the consultation on, conception, investigation, evaluation, planning, and design of, and selection
of materials and methods to be used in, administration of construction contracts for, or site observation of an engineering system or facility, where
such consultation, conception, investigation, evaluation, planning, design, selection, administration, or observation requires extensive knowledge of
engineering laws, formulae, materials, practice, and construction methods. A person shall be construed to practice or offer to practice professional
engineering, within the meaning and intent of this Act, who practices, or who, by verbal claim, sign advertisement letterhead, card, or any other
way, is represented to be a professional engineer, or through the use of the initials "P.E." or the title "engineer" or any of its derivations or some
other title implies licensure as a professional engineer, or holds himself out as able to perform any service which is recognized as professional
engineering practice.
Examples of the practice of professional engineering include, but need not be limited to, transportation facilities and publicly owned utilities for a
region or community, railroads, railways, highways, subways, canals, harbors, river improvements; irrigation works; aircraft, airports and landing
fields; waterworks, piping systems and appurtenances, sewers, sewage disposal works; plants for the generation of power; devices for the utilization
of power; boilers; refrigeration plants, air conditioning systems and plants; heating systems and plants; plants for the transmission or distribution
of power; electrical plants which produce, transmit, distribute, or utilize electrical energy; works for the extraction of minerals from the earth; plants
for the refining, alloying or treating of metals; chemical works and industrial plants involving the use of chemicals and chemical processes; plants
for the production, conversion, or utilization of nuclear, chemical, or radiant energy; forensic engineering, geotechnical engineering including,
subsurface investigations; soil classification, geology and geohydrology, incidental to the practice of professional engineering; energy analysis,
environmental design, hazardous waste mitigation and control; recognition, measurement, evaluation and control of environmental systems and
emissions; automated building management systems; or the provisions of professional engineering site observation of the construction of works
and engineering systems. Nothing contained in this Section imposes upon a person licensed under this Act the responsibility for the performance
of any of the foregoing functions unless such person specifically contracts to provide it.
IL486-1536 04/06 (LT)
VE-PNG Verification of Employment/Experience - Page 2 of 2
NAME (Last, First, MI): ______________________________________________SS#: _____________________ Profession: ___________________
PART II - APPLICANT EMPLOYMENT INFORMATION (Continued)