-STOP- Before filling out and submitting this application, please contact BTR licensing staff at 602-364-4930 to confirm that this is the appropriate application for you.

Geologist Fundamentals Exam Waiver Packet

To complete the Application, please:

• Complete all questions, sign and date.
• Include a signed check or money order in the amount of $100.00 for the application fee.
• Include completed, signed and dated “ Arizona Statement of Citizenship” form
• Include a copy of a government issued photographic identification
• Include verification of passing a geology fundamentals examination in another jurisdiction, if applicable 
• Include verification of licensure/registration from all registered states
• Request Official college transcripts be sent to the Board, if applicable
• Include Three (3) Experience Record and Supervisor/Reference forms
• Any applicable disciplinary or criminal documents – see instructions in packet

Geologist Fundamentals Exam Waiver Fee