-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 and supporting evidence
• Include a copy of a government issued photographic identification
• Request verification of licensure/registration, if applicable
• Request Official college transcripts be sent to the Board, if applicable
• Request Three (3) Certificate of Experience forms to be completed
• Any applicable disciplinary or criminal documents – see instructions in packet

Geologist Fundamentals Exam Waiver Fee

All applicants must provide verifiable documentation that the applicant has graduated from a degree program approved by the Board and has at least 12 years of post-graduation experience directly related to the practice of geology

OR

All applicants must provide verifiable documentation that the applicant has been actively engaged and holds an active professional registration as a Geologist in another jurisdiction for 10 of the last 15 years. The 10 years of practice must have been in one jurisdiction rather than a combination of experience in multiple jurisdictions.