Professional Engineering License Examination Review Courses Registration Form Fall 2008 _______________________________________________________ Name_______________________________________ Title_____________________________ Home Address, City, State, Zip _____________________________________________________________________________ Home Telephone____________________________ Work Telephone____________________ Firm/Co. Name____________________________________ Work Fax____________________ Email______________________________________ Social Security No. _________________ What degree(s) in Engineering do you have?_______________________________________ Have you applied to the State of New Jersey to take the FE or PE examination? YES____ NO_____ If yes, when did you apply?________________ If not, when will you apply?_____________________ Has the State approved your application? YES____ NO____ Please Check the Course(s) You Want to Attend Fundamentals of Engineering/EIT __________ Civil Engineering PE Review Electrical and Computer PE Review Mechanical Engineering PE Review __________ __________ __________ Cost: $900 ($500 for currently enrolled students—proof of enrollment required) Cost: $875 Cost: $850 Cost: $850 The course fee includes handouts and parking permits. Students must purchase course textbooks at a discounted price at http://ppipartner.com/XA046. Please review our refund and late registration policy at http://soece.rutgers.edu/ceoverview.html __________________________________________________ Course registration deadlines are as follows: Fundamentals of Engineering (FE/EIT) Course: August 15, 2008 Civil Engineering PE Course: July 3, 2008 Electrical and Computer PE Course: July 18, 2008 Mechanical Engineering PE Course: July 16, 2008 Please mail or fax your completed registration form, along with your check made payable to Rutgers University, to: PE Review Courses Engineering Continuing Education Rutgers School of Engineering 599 Taylor Road, Room 231B Piscataway, New Jersey 08854-5610 Fax: (732) 445-3155 We do not accept credit cards or purchase orders.