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.