State of New Hampshire

OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION

DIVISION OF LICENSING AND BOARD ADMINISTRATION
7 Eagle Square, Concord, NH 03301
Phone: 603-271-2152

STATE OF NEW HAMPSHIRE

APPLICATION FOR LICENSURE AS A PROFESSIONAL ENGINEER

$150.00 Application Fee – Exam

$250.00 Application Fee – Reciprocity/Comity
The application must be filled out completely and typewritten
Ethics Questionnaire must be completed and returned with application
Check Payable to “Treasurer, State of NH” or complete the enclosed credit card form (Non-Refundable Fee)

1. General information

Name ________________________________________________________________________________
Last First Middle

Names Previously Used (if applicable): _______________________________ SS# __________________

Residence Address: ___________________________________________________________________

Zip code

Business Name: _______________________________________________________________________

Business Address: ____________________________________________________________________

Zip code

Indicate mailing address by check box

Business Phone: ______________________________ Home Phone: _____________________

Email: ______________________________________ Date of Birth: _____________________

Place of Birth: ________________________________

1
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

2. Registration/Licensure Information

Have you taken and passed the Fundamentals of Engineering Exam? Yes No

If yes indicate: State: ____________________ Certificate #: _____________ Date: _________

Licensed by NCEES Exam? Yes No If not how? _______________________________

Location of exam: ______________________ Date: ________________ Grade Awarded: _________

Total number of hours of written examination/s (indicate “none” if no written exam was taken): ______

State in which first registered or licensed as a Professional Engineer: _____________________________

Date of Licensure: _______________ License Number: _______________

Is License now in force? Yes No If not in force, indicate why: _______________________

Have you ever applied for engineering licensure in New Hampshire? Yes No Status: _________
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Professional Licenses: List all states where you hold or have held licensure. Use a separate sheet if
necessary. Verification of one current license as well as verification from the state(s) where
examination(s) was administered is required.

License # State Year Licensed # Hours Written Reciprocity Or Active or

Examination Grandfathered Lapsed

3. General Information Questions

CHECK ONE:

1. Have you ever been convicted of any felony or any misdemeanor that has not been annulled
involving engineering or the practice of professional engineering? If so, name the court, the details of
the offense and the date of conviction and the sentence imposed. Yes No

_____________________________________________________________________________________

2. Have you ever lost or been denied registration/licensure as a professional engineer or disciplined by
another licensing board in any other state or jurisdiction and if so, an explanation of the circumstances?

Yes No

If the answer is yes to any of the above questions, submit a written explanation with your
application.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

NCEES RECORD:

An NCEES record is for licensed engineers who practice in multiple states.

1. Do you have an NCEES Council Record? Yes No

2. I have requested NCEES to transmit my Council Record to the Board Office on:

Indicate Date Transmittal Requested: ________________________________

ROSTER LISTING REQUESTED:

I feel I am qualified to practice in the following branch/es of Professional Engineering checked below and would
like to be so designated in the Roster (maximum three). If applying for exam which discipline do you want to
take?

Agriculture Electrical & Computer Heating & Vent Mining/Mineral Naval Arch/Marine

Chemical Electrical Industrial Nuclear Architectural

Civil Environmental Manufacturing Petroleum Metallurgical

Civil Highway Fire Protection Mechanical Geo Technical Control System

Structural – 16 hour structural exam required for new licenses by exam to receive a structural designation.

I understand that the Board will make determination of my qualifications for such designations after
review of the data submitted with this application.

4. Membership in Professional or Scientific Associations

Name of Organization Location Grade or Membership Date

 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

5. Education

1. Official transcripts are required and must be sent directly to the board office from the college or
university, in a sealed envelope unless verified though NCEES Council Records.

Institution & Location FROM TO MAJOR DEGREE AWARDED /DATE

SECONDARY SCHOOL
1.

COLLEGES & UNIVERSTIES

1.

2.

3.

4.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

6. References of Character and Qualifications

Applicant will give the name and address of not fewer than five reputable citizens, unrelated to the
applicant, of whom at least three shall be professional engineers, having personal knowledge of the
applicant’s experience. No member of the board will be accepted as reference. Name of persons listed
under item 7, “Experience,” may also be used as references.

Name Address Including Zip Code Occupation/License Business Relationship to Applicant

 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

7. Professional Experience

This information described below is a summary of your employment, and should start with your first
employer. Use this page as a summary and place detailed information pertaining to experience on the
enclosed supplemental experience record sheet. Please key all sheets.
Key Date Name of Employer Location and From To Degree of Indicate Name and present
– Title of Position Character of Responsibility Years address of someone
Each Position familiar with each
position, preferably
person to with whom
he/she was associated
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

8. Affidavits

I have read the contents hereof and clearly understand that the correctness and truth of my statements
as recorded in this application are material, not only to the issuance of the certificate of licensure, as
applied for, but also to the retention of said certificate, if issued.

_______________________________________
Signature of Applicant

_______________________________________
Date

ADDRESS ALL COMMUNICATION TO:

NHOPLC – ENGINEERS BOARD
7 EAGLE SQUARE
CONCORD, NH 03301

Find us on the on-line at https://www.oplc.nh.gov/board-professional-engineers

 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Page No ________

SUPPLEMENTARY EXPERIENCE RECORD IN DETAIL

 Read instructions carefully. The Supplementary Experience Record is vital to the Board’s
evaluation of your engineering experience.

 Affix your signature and date to this and each additional sheet. Add additional sheets as
required. Use plain white pages and number consecutively. Number each engineering project
and/or assignment to correspond with the key of Section 7 of your application.

 List and identify your projects and/or assignments in chronological order, starting with your
first engineering projects and/or assignments. Be specific in identifying the portion of the
work you personally engineered. Note the calculations you performed, identify the project by job
title, name of client, location of project, total cost and cost of the portion you engineered. In
describing the projects when applicable list such things as capacities, sizes, ratings, list of
equipment size and/or specified, or other suitable identifying means, note success or failure of
each project

 After you have prepared your first draft, read it critically. Does it show a reviewer, who is
not familiar with you or your job the degree of engineering expertise you applied and verify
time-wise the engineering experience claimed in your application.

Signature: ___________________________________Date: _____________

(ALSO SIGN AND DATE EACH ADDITIONAL SHEET)
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

STATE OF NEW HAMPSHIRE

BOARD OF LICENSURE
FOR PROFESSIONAL ENGINEERS

CANDIDATE REQUIREMENTS
New Hampshire RSA 310-A:12 General Requirements for Licensure as a Professional Engineer.

I. Applicants who have the minimum of a bachelor of science degree, or the equivalent, from an
Accreditation Board for Engineering and Technology (ABET) or other accredited 4-year institution in an
engineering curriculum, certification as an engineer-in-training as a result of an 8-hour NCEES
fundamentals of engineering examination and 4 years of accumulated engineering experience under the
direction of a licensed professional engineer and satisfactory to the board may apply to sit for the
professional engineers examination.

II. Applicants who have the minimum of a bachelor of science degree, or the equivalent, from an ABET
or other accredited 4-year institution in an engineering curriculum and more than 10 years of
accumulated engineering experience under the direction of a licensed professional engineer and
satisfactory to the board may apply to sit for the professional engineers examination. Such an applicant
may request a waiver of the fundamentals of engineering examination.

III. Applicants with a minimum of 25 years of engineering experience of which at least 10 years shall
have been in responsible charge of engineering work satisfactory to the board may apply for licensure
under this section on the basis of education and experience, provided that they have successfully passed
the professional engineers examination required by RSA 310-A:17.

IV. Whenever the evidence presented in an application under paragraph I, II, or III does not appear to
the board conclusive and warranting the issuance of a license, the applicant shall be required to pass an
oral or written examination, or both, as the board may determine.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Eng. 303.01 Candidate Requirements.

(a) Candidates for licensure shall meet the requirements established by RSA 310-A:12-19 before a
license shall be granted. The board shall require that applicants appear for a personal audience with the
board if their records of education or experience are unclear, contradictory or incomplete. The board
shall also require documentation of the applicant’s work products to help determine competency.

(b) Qualifications shall be determined as follows:

(1) Applicants possessing a 4-year Engineering Accreditation Commission/Accreditation

Board for Engineering and Technology (EAC/ABET) degree shall have 4 years engineering
Experience satisfactory to the board;

(2) Applicants possessing a 4-year EAC/ABET equivalent, foreign engineering

Degree which consists of an engineering program which has a successful ABET site
Visit shall have 4 years engineering experience satisfactory to the board;

(3) Applicants possessing a degree in a related science and holding a master’s degree or higher
in engineering from an institution which offers an EAC/ABET 4-year engineering degree
accredited program shall have 4 years’ experience satisfactory to the board. Education per Eng.
303.02 (h) shall not be counted towards the 4-year experience requirement;

(4) Applicants possessing a 4-year degree from non-ABET accredited U.S. engineering program
shall have 8 years engineering experience satisfactory to the board;

(5) Applicants possessing a foreign degree having a favorable NCEES Credentials

Evaluation which consists of transcript review only shall have 8 years engineering experience
satisfactory to the board;

(6) Applicants possessing a Technology Accreditation Commission/Accreditation Board for

Engineering and Technology (TAC/ABET) 4-year degree shall have 8 years engineering
experience satisfactory to the board; and
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

(7) Applicants possessing any degree other than those set forth per Eng 303.01
(b) (1)-(6), or no degree, shall have 25 years of engineering experience satisfactory
to the board and shall have successfully passed the NCEES Principles and Practice of engineering
examination.

Eng 303.02 Experience Requirements. Experience in the practice of engineering shall be

determined pursuant to RSA 310-A:12 – 19 as follows:

(a) Experience shall be progressive on engineering projects to indicate that it is of

increasing quality and requiring greater responsibility;

(b) Only work of an engineering nature shall be creditable;

(c) Experience shall not be obtained in violation of RSA 310-A;

(d) Experience gained in the armed services, to be creditable, shall be of a character

equivalent to that which would have been gained in the civilian sector doing similar work.
The applicant while in the armed services shall have served in an engineering or
engineering-related group;

(e) Experience shall be gained under the supervision of a licensed professional engineer
or if not, an explanation shall be made showing why the experience should be
considered acceptable;

(f) Teaching experience to be creditable shall be of an advanced level in a college or

university offering an engineering curriculum of four years or more that is accredited
by the Accreditation Board for Engineering and Technology (ABET) accredited program;

(g) Experience gained in engineering research and design projects by members of an

engineering faculty where the curriculum is of an advanced level in a college or university
offering an engineering curriculum of four years or more that is accredited by the
Accreditation Board for Engineering and Technology (ABET) accredited program shall be
creditable;
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

(h) Successful completion of graduate study leading to the master’s degree in engineering
which has followed a baccalaureate degree in engineering may be used for credit for one
year’s experience. If the Ph.D. in engineering is completed under the same conditions, 2-
years total’s experience shall be credited. The 2 years credit shall include the one year for
the master’s degree;

(i) Experience shall not be anticipated. The experience shall have been received
at the time of the application;

(j) Experience as a contractor in the execution of design by a professional engineer or in

employment considered as that of supervising construction of such work shall not be
considered as creditable experience; and

(k) Experience gained in construction to be creditable shall constitute engineering

practice as set forth in RSA 310-A:2, III.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

APPLICATION INSTRUCTIONS
AND CHECKLIST FOR
PROFESSIONAL ENGINEER

Questionnaire and Discipline-All candidates must complete and return the Law and Ethics
questionnaire enclosed with this application packet. Examination applicants are to indicate examination
discipline requested.

General- Provide all the information requested on the application form. Do Not substitute a resume or
other synopsis of your experience and/or education for any part of the application form. If additional
space is needed, please photocopy that portion. Individuals who hold a National Council of Examiners
for Engineering and Surveying Record (NCEES) must complete pages 1 and 2, sections 5 and 8.

References- Make a sufficient number of copies of our Reference Form to send one to each of your
references. Keep a blank one for your future use, in the event a reference does not respond. In addition
to the reference form, you should send each of your references a stamped envelope on which you have
placed the Board address label. Reference forms received from applicants are not acceptable, forms
must come directly from the reference.

Transcripts- Transcript Request Forms are included as a part of this application packet. Complete the
form/s and send it/them (and any required fee) to the college or university you attended including
Undergraduate and Masters transcripts if applicable. Transcripts received from the applicant are not
accepted. Transcripts must come directly from the college/university to our office.

Verifications-Enclosed you will find a copy of a blank verification of registration form. If you have taken
the FE/EIT and/or PE examination in another jurisdiction/s, complete Part A and send the verification
form to each jurisdiction along with any fee they may charge. Make copies if needed. For each
verification form mailed, you should include a stamped envelope on which you have placed the New
Hampshire Board address label.

Notice to all applicants- Be sure you submit your application to the Board before you send out your
reference forms. We must receive your application prior to receiving forms from your references. If we
receive responses from your references and do not have your application on file, they may be
misplaced, causing a delay in the processing of your application.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Foreign Degree Candidates- Foreign degree evaluations are required and must be sent directly from the
institution to NCEES Credentials Evaluations - https://ncees.org/records/ncees-credentials-evaluations/

Principles and Practice Candidates- The application forms, fees and all supporting documentation for
candidates for the exam must be received by: July 1st for the October exam; January 1st for the April
exam.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

RETURN THIS CHECKLIST WITH YOUR APPLICATION

APPLICATION CHECKLIST

Candidate Name

Before you mail your application to the Board, please check the following items carefully. Your attention to these
details will make it possible for the Board Staff to process your application without delay.

Have you:

Marked the box on the application form indicating which address you want us to use?

Requested your college/university to send us your transcript directly?

Completed the “References” portion of the application, sent reference forms and Board
addressed and stamped envelopes to each of your references, and kept a blank copy of the
form for yourself?

Filled in the detailed experience summary sheets? (copy if needed)

Signed and dated the application?

Included the correct fee with the check made payable to Treasurer, State of NH
or completed the attached credit card sheet?

Completed the Law and Ethics Questionnaire and returned it with the application?

Foreign Degree Candidates - Foreign degree evaluations are required and must be sent directly from
the NCEES Credentials Evaluations - https://ncees.org/records/ncees-credentials-evaluations/

Submitted an application for a Certificate of Authorization (COA) if you will be offering your
services through a business entity required per RSA 310-A:20 available at
https://www.oplc.nh.gov/sites/g/files/ehbemt441/files/inline-documents/sonh/engineer-certificate-
authorization.pdf
COA will not be issued until PE stamp is approved.

Completed Part A of the verification form, sent to the appropriate state board/s along with a
stamped envelope on which you have placed one of the New Hampshire Board address
labels? Or request verification through NCEES at https://ncees.org/records/
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

I am aware that if I am approved for licensure; my licensing approval letter and all pertinent information will be sent
to me at my on-file e-mail address only.

Included this Checklist with your application?

Date: _________________________

College or University Registrar

_________________________

_________________________

_________________________

Dear Registrar:

Enclosed please find my fee in the amount of $ __________ in payment for a certified transcript of my scholastic record. I
attended college during the year’s ____________to____________. I received my degree on ____________________________.
My Social Security number is ___________________ and my date of birth is ________________________ .
.

My student identification number was ________________________________.

Please send the transcript directly to the following address:

NHOPLC – TECHNICAL DIVISION

7 EAGLE SQUARE
CONCORD NH 03301

The Board of Professional Engineers have informed me that they will treat the transcript in accordance with the provisions of
the Education Rights Privacy Act and that no unauthorized person will have access to the transcript.

Sincerely,

_____________________________
(Signature)

__________________________________________________________________________________
(Printed Name and Address)
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

REQUEST FOR VERIFICATION OF LICENSURE OR EXAMINATION

PART A. Candidate Information – To be completed by the Candidate

Applicant Name: Date of Birth:
Address:

City State Zip

*************************************************************************************
PART B. To be completed by verifying Board and returned directly to:
NHOPLC – Technical Division, 7 Eagle Square, Concord, NH 03301 Phone: (603-271-0607)

I. THE ABOVE NAMED PERSON WAS LICENSED AS: Certificate Date Valid
Number Issued Until
PROFESSIONAL ENGINEER
ENGINEER-IN-TRAINING
LAND SURVEYOR
SURVEYOR-IN-TRAINING

II. MINIMUM REQUIREMENTS WERE:

l. Written Exam
Hours Results NCEES Exam
(yes/no) Date
Principles and Practice of Engineering
Fundamentals of Engineering
Principles and Practice of Land Surveying
Fundamentals of Land Surveying
Exam Option: (Discipline)
2. EIT or LSIT Accepted from:
3. Oral Examination: Hours PE Hours LS
4. Comity with:
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

5. Education and Experience:

6. Other:

III. QUESTIONS
1. Has any disciplinary action ever been taken against the applicant? Yes No
2. If so, has the disciplinary case been satisfied to the Board’s
requirements? Yes No
3. Was the NCEES Cut-Score Used? If no please explain below: Yes No

State:
By:
Title:
Date:
Mandatory Board Seal
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD

EAGLE SQUARE 7 EAGLE SQUARE 7 EAGLE SQUARE
CONCORD NH 03301 CONCORD NH 03301 CONCORD NH 03301

NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD

7 EAGLE SQUARE 7 EAGLE SQUARE 7 EAGLE SQUARE
CONCORD NH 03301 CONCORD NH 03301 CONCORD NH 03301

NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD

7 EAGLE SQUARE 7 EAGLE SQUARE 7 EAGLE SQUARE
CONCORD NH 03301 CONCORD NH 03301 CONCORD NH 03301

NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD NHOPLC – ENGINEERS BOARD

7 EAGLE SQUARE 7 EAGLE SQUARE 7 EAGLE SQUARE
CONCORD NH 03301 CONCORD NH 03301 CONCORD NH 03301

Note: This page may be printed or copied on a 3 by 10 label sheet to create mailing labels for
use with reference letter envelopes, etc. This setup is for Avery label 5960.
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Dear Sir/Madam:

An individual has applied to this Board for licensure in the State of New Hampshire as a Professional
Engineer and either has given your name as a reference or has stated that he/she has worked for you or
with you. The Board will appreciate your sending the information requested on the reverse hereof, and
assures you that such information as you give will be treated in the strictest confidence.

The Board is required by law to obtain evidence of the good character of the applicant and his/her
qualifications as a Professional Engineer before issuing a certificate of licensure. Statements made on
this form by responsible persons with actual knowledge of the applicant’s character and qualifications
will be considered by the Board as evidence and filed with the application.

The Board urges that evidence submitted on this form not be perfunctory, but be considered carefully.
The Board, in making decisions, must rely to a great extent on the evidence submitted by references.
Since these decisions may affect the life, health, property and welfare of the public, you have a grave
responsibility to provide the Board with a fair and honest appraisal of the applicant.

Since the Board cannot license the applicant until the references are returned, a prompt reply will
expedite consideration of the applicant’s request for licensure. Please make certain that you enter the
applicant’s name on the reference form.

Very truly yours,

Christine Horne
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

Re: Application of ________________________________________________

(NAME IS REQUIRED)

THIS IS CONFIDENTIAL INFORMATION - FOR USE OF BOARD MEMBERS ONLY

1. What is your full name: _______________________________________________________________

(to be typewritten or printed)

2. What is your address: _________________________________________________________________

(street and number) (city or town)

3. What is your present business or profession? ______________________________________________

4. Are you a licensed Engineer? __________ In what State? ______________ License # _____________

5. How long have you known the applicant? From _____________ To __________________

6. Are you in any way related to the applicant? Yes No

7. What has been your business connection with the applicant? ________________________________

_____________________________________________________________________________________

8. Do you know anything reflecting adversely on the integrity or general good character of the
applicant? ____________________________________________________________________________

_____________________________________________________________________________________

9. Please give a brief estimate of the applicant as an engineer. _________________________________

_____________________________________________________________________________________
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

10. Would you employ the applicant in a position of trust? Yes No

11. If the applicant is connected with a firm, please provide its name and address.

_________________________________________________________________________________

12. Is the applicant qualified to be placed in responsible charge of design or supervision of work? ______

13. If the applicant is in individual practice, please indicate the nature of such practice.

_____________________________________________________________________________________

14. Do you recommend the applicant for licensure as a Professional Engineer? Yes No

15. In my opinion the applicant has ________ years of engineering experience.

16. Remarks concerning the applicant: _____________________________________________________

_____________________________________________________________________________________

I make the above statements with full knowledge that the person referred to is making application for
licensure to the State of New Hampshire as a Professional Engineer.

Date: __________________ Written Signature: ____________________________________________

 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

The following take-home open book questionnaire is required of all applicants for initial licensure in
New Hampshire. The applicant is encouraged to read the appropriate referenced section of NH RSA
310-A and ENG 500 as each question is answered - all of which may be found at
https://www.oplc.nh.gov/board-professional-engineers-laws-and-rules

If questions are answered incorrectly, the graded questionnaire will be returned to the applicant for
correction, and license issuance will be delayed until a passing score on this questionnaire is attained.
The purpose of this questionnaire is to ensure that the applicant has read and understands pertinent
sections of the NH statutes and regulations pertaining to legal and ethical issues regarding the practice
of engineering. There are no trick questions. The answers are clearly indicated in the referenced
statute or rule sections. Read each answer carefully before selecting the correct answer, as there are
multiple correct answers in a number of cases, with “all of the above” being the correct answer.

The questionnaire must be prepared by the applicant. It is unethical for an applicant to use a
questionnaire completed by another person to assist in answering these questions.

Name of Applicant: ______________________________________________________________

1. The following documents for projects in New Hampshire need to be dated, sealed and signed
(RSA 310-A:18):
a. all papers or documents of any kind prepared by an engineer
b. all papers or documents involving the practice of engineering which are only intended
for use on public projects
c. all papers or documents involving the practice of engineering when issued or filed for
public record
d. only on final plans and specifications when issued for construction

2. A Business Organization must obtain an Engineering Certificate from the NH Board of

Professional Engineers in order to (RSA 310-A:20):
a. Provide non-engineering services on a project
b. Provide, or offer to provide, engineering services to others on a project in New
Hampshire, and to use the words Engineer or Engineering in its name
c. Provide engineering services only to New Hampshire public entities
d. Provide engineering services to others in other states
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

3. A Business Organization must designate one or more of the corporate officers, general partners,
or associates as being responsible for the engineering activities and decisions of the Business
Organization. Those engineers must be (NH RSA 310-A:20 and ENG 306.01):
a. Graduate engineers, but not necessarily Licensed Professional Engineers
b. Licensed Professional Engineers in any state
c. New Hampshire Licensed Professional Engineers who are full time employees of the
business organizations, with certain exceptions for very small firms.
d. Competent engineers by any reasonable standard

4. The Ethical Standards of the NH Board of Licensure of Professional Engineers apply to (Eng
501.01):
a. all NH Licensed Professional Engineers, but not to business organizations
b. all citizens
c. all NH Licensed Professional Engineers, and all persons, corporations or other legal
entities authorized to perform engineering in NH, including all certified Business
Organizations under NH RSA 310
d. all Unlicensed Professional Engineers

5. The Standards of Conduct require that all professional engineers (Eng 501.03):
a. perform his/her services only in areas of his/her competence
b. undertake engineering assignments only when qualified by education or experience in
the specific technical field of professional engineering involved
c. restrict project assignments to those phases of projects in which he/she is qualified
d. all of the above

6. A professional engineer shall not seal, date, and sign an engineering document which is (Eng
501.03):
a. not prepared under his/her direct supervisory control
b. the work of two or more professionals, unless a note is added designating the portion of
the work for which he/she is responsible
c. a and b above
d. none of the above
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

7. Professional engineers public reports and statements shall be (Eng 501.03(b)):

a. objective and truthful and include all relevant and pertinent information
b. reasonably accurate, but not perfect, and may not necessarily need to include all
relevant information
c. objective and truthful, but need not necessarily include all relevant and pertinent
information
d. objective and truthful when appropriate to the circumstances

8. When serving as an expert or technical witness before any court or commission, the
professional engineer shall present an expert opinion (Eng 501.03(b)):
a. of any reasonable sort
b. only when founded upon adequate knowledge of the facts in issue, and upon honest
conviction of the accuracy and propriety of his/her opinion
c. only when such opinion is in the interest of the professional engineer’s client
d. in all fields of engineering, including those outside of his/her education and experience

9. If a professional engineer believes that another engineer is guilty of misconduct or illegal

practice, he/she shall (Eng 501.03(b)(5)):
a. Ignore such misconduct or illegal practice
b. Issue press releases regarding such misconduct or illegal practice
c. Indiscriminately criticize the other engineer in public
d. present information to the Board of Licensure of Professional Engineers regarding such
misconduct or illegal practice

10. When in public service as a member, advisor, or employee of a governmental body, the
professional engineer (Eng 501.03(c)):
a. may feel free to offer engineering services to that governmental body, and to
participate in actions of the governmental body, without any restrictions
b. shall not participate in any considerations or actions with respect to services provided
by him/her or his/her organization in private engineering practices
c. may participate in considerations and actions of that governmental body regarding
services provided by him/her or his/her organization in private engineering practices, as
long as all other elected officials are aware of the circumstances
d. All of the above
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

11. If a principal or officer of a professional engineers business organization serves as a member of a

governmental body, the professional engineer (Eng 501.03(c)(6)):
a. shall not solicit or accept an engineering contract from that governmental body
b. may solicit or accept an engineering contract from that governmental body if the
principal or officer does not participate in the governmental body’s discussions and
decisions regarding the project
c. may solicit or accept an engineering contract from that governmental body, but only if
under reasonable terms and conditions
d. none of the above

12. If a professional engineer is disciplined in the State of NH, the Board shall (Eng 402.02):
a. send copies of Board orders, settlement agreements and consent decrees to each state
the licensee is licensed in.
b. send copies of Board orders, settlement agreements and consent decrees to
organizations, associations or anyone else that may have a legitimate professional interest in the
decision.
c. determine sanctions by considering the presence of aggravating and mitigating
circumstances.
d. all of the above.

13. A professional engineer shall solicit or accept work only on the basis of his/her qualifications,
and shall NOT (Eng 501.03(d)):
a. offer to pay, either directly or indirectly any commission, political contribution, gift or
other consideration in order to secure work.
b. submit proposals which are misleading regarding the cost, quality or extent of services
to be rendered.
c. distribute brochures which misrepresent past accomplishments or qualifications.
d. all of the above.

14. If a professional engineer has knowledge or reason to believe that another person or firm may
be in violation of the Ethical Standards of Eng 501, the professional engineer shall report such
knowledge or belief to the Board of Licensure of Professional Engineers (Eng 501.03 (e)(2)):
a. only if the professional engineer is personally affected by the potential violation
b. only if the public health, safety or welfare is imminently imperiled
c. regardless of the circumstances, as there are no exceptions outlined in Eng 501.03(e)(2)
d. only if a public entity is potentially affected by the potential violation
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

15. In dealing with material or equipment suppliers who are interested in the professional engineer
specifying their products, the professional engineer (Eng 501.03(c)(3)):
a. may accept gratuities
b. may accept compensation in the form of gifts, but not cash
c. may not solicit or accept financial or any other valuable consideration
d. may not solicit or accept financial or any other valuable consideration, but this
restriction is limited to only public projects

16. The professional engineer shall avoid conflicts of interest as follows (Eng 501.03(c)):
a. by promptly informing his/her employer or client of any interest which could influence
his/her judgement or quality of services
b. by not accepting compensation from more than one party for services pertaining to the
same project, unless the circumstances are fully disclosed to, and agreed to, by all
interested parties
c. a and b above
d. none of the above

17. If a professional engineer has been found to have not complied with the statutory requirements
and/or the Ethical Standards, the Board of Licensure of Professional Engineers may, after due process
and a hearing (RSA 310-A:23):
a. suspend, revoke, refuse to renew, limit or restrict a license
b. assess prescribed civil penalties
c. require the professional engineer to participate in a program of continuing education
and/or to practice under the direct supervision of another licensed professional engineer for a
period of time
d. any of the above

18. In New Hampshire, it is a felony for an unauthorized business organization to (RSA 310-A:25):
a. practice in New Hampshire
b. offer to practice in New Hampshire
c. represent by verbal statement, sign, letterhead, card or in any other way that they are
able to perform engineering services in New Hampshire
d. all of the above
 State of New Hampshire
Office of Professional Licensure & Certification
7 Eagle Square, Concord NH 03301
Phone: 603-271-2152

19. Misconduct sufficient to support disciplinary proceedings shall include (but not be limited to)
(RSA 310-A:22):
a. unprofessional, unethical, or dishonorable conduct unworthy of, and affecting the
practice of engineering
b. addiction to the use of alcohol or other habit-forming drugs to a degree which renders
the licensee unfit to practice
c. violations of the Ethical Standards of Eng 500
d. any of the above

20. With respect to the alleged unlicensed practice of engineering in New Hampshire, the Board of
Licensure of Professional Engineers, or any society of licensed professional engineers, may bring
proceedings before the (RSA 310-A:26):
a. Superior Court
b. US Supreme Court
c. District Court
d. Federal Court

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Applicant’s Signature

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Date