State of Maryland Department of Labor, Licensing and Regulation
Maryland Board of Examiners of Landscape Architects
500 N. Calvert St., Room 308
Baltimore, Maryland 21202
(410) 230-6322 (Baltimore area),    (888) 218-5925 (Toll Free)

Landscape Architects - Form 1 - Application for Landscape Architects Reciprocal License

1.   Name: 
LAST FIRST MIDDLE
Address: 
STREET CITY STATE ZIP


Telephone: (home)       (work)      
2.    High School or Equivalency Date of Graduation 
3.  
Name of College/University Degree/Major Graduation Date
Name of College/University Degree/Major Graduation Date
   
NOTE: An official academic transcript must be sent to the Board's office directly from the college registrar. Transcripts marked "issued to student" will not be accepted. Foreign degreed applicants: See instructions for FORM 1.


4.  The endorser numbers below must correspond to the numbers in the ENDORSER NUMBER boxes at the top right corner of the individual RPE FORMS. See instructions for FORM 1, FORM 2, AND FORM 2A.
ENDORSER
NO.
  COMPANY NAME OR EMPLOYER    NAME OF ENDORSER   TIME CLAIMED
YEAR / MONTHS
 NO. OF
RPE FORM
1    /
2    /
3    /
4    /
5    /
6    /
7    /
8    /

TOTAL
5.  I understand that by signing this statement, the license for which I am applying will expire on the date printed on the license, and that I will be required to renew this license and pay the renewal fee prior to the above expiration date. I further understand that I may not engage in the profession for which I have applied until such time as a license has been issued to me.

Signature  Date Signed