Geologist Professional Registration Packet

To complete the Application, please:

• Complete all questions, sign and date.
• Include a signed check or money order in the amount of $325.00 for the application & initial registration 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 FG and PG examinations
• Request verification of licensure/registration from all registered states
• Request Official college transcripts be sent to the Board, if applicable
• Request Three (3) Certificate of Experience forms
• Any applicable disciplinary or criminal documents – see instructions in packet

Geologist Professional Registration Fee