STATE OF MARYLAND		 State of Maryland Department of Labor
Maryland State Board Of Foresters
1100 N. Eutaw St
Baltimore, Maryland 21201
(410) 230-6231 (Baltimore area), or (888) 218-5925 (Toll Free)

Application For Licensure As A Forester

$45.00 Fee Is Non-Refundable And Is Subject To Change Without Notice
SECTION 1. INSTRUCTIONS FOR APPLICANTS
1. The Foresters Act and regulations set forth the following requirements for licensure:
a. Graduation from a four-year curriculum in forestry, or a master's degree in forestry, from a college or university approved by the Board or accredited by the Society of American Foresters; and
b. Two years of experience in forestry that indicates to the Board that the applicant is competent to practice forestry.
2. The applicant must return to the above address:
a. a completed application.
b. an official college transcript.
3. If your application is approved, a $55.00 licensing fee is due within 30 days in order to issue the license.
4. The Board of Foresters conducts quarterly meetings usually in the months of January, April, July, and October. Please submit completed application by the first day of these months to expedite processing.
SECTION 2. INDIVIDUAL INFORMATION
Full Name:
MIDDLE 
LAST FIRST (IF YOU DO NOT HAVE A MIDDLE NAME ENTER "N.M.N.")
Business Address (Number and Street): 
City:    County: 
State:    9 Digit Zip Code: 
Home Telephone No.    Business Telephone No. 
Social Security No.   Date of Birth:
Place of Birth:

Are you registered in any other state(s)? YES NO. If yes, indicate where, date of registration
and certificate(s) number(s).

Indicate fields or phrases of forestry in which you are most proficient, such as Silviculture, Finance, Appraisal, Mensuration, Fire Control, Administration, Reforestation, Utilization, Research, Teaching, Urban Forestry, Other (specify):
SECTION 3. EDUCATION
List the name of each college, university, or technical school attended, degree received and date of graduation.
NAME OF COLLEGE/UNIVERSITY/TECHNICAL SCHOOL DEGREE GRADUATION DATE
NAME OF COLLEGE/UNIVERSITY/TECHNICAL SCHOOL DEGREE 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.
SECTION 4. PROFESSIONAL EXPERIENCE
Two years experience in the practice of forestry is required by Business Occupations and Professions Article, section 7-304(b).
LIST EARLIEST EMPLOYMENT FIRST
DATE
Month and Year
From To
STATE IN ORDER:
(a) Title of Position Held
(b) Name of Employer and Address
(c) Kind of Work Done By Applicant - must be a detailed description of your duties
SUBMIT ADDITIONAL SHEETS IF NECESSARY
Date/Time
YRS.
MOS.
YRS.
MOS.
YRS.
MOS.
YRS.
MOS.
YRS.
MOS.
TOTAL DATE/TIME  
YRS.
MOS.

SECTION 5. REFERENCES OF CHARACTER & PROFESSIONAL COMPETENCE
Provide at least five references. Please select references who are licensed foresters in Maryland, or for an individual who is not a Maryland licensed forester, forester credentials acceptable to the Board, including a detailed description of the professional experience in forestry. DO NOT use board members as references.
This certifies that I have been personally acquainted with
(Applicant's Name)
of years indicated below. I have read the foregoing statements, which so far as known to me are correct and I believe the applicant to be of good character and repute, and competent to be a licensed Forester.

* References should both sign and type or print their name legibly.

 
Date of Signature Name*  Address (Including Street, Number & Zip Code) Business or Professional Status Registration State & No. (If applicable) Years Known Applicant
FORESTER
Signature
FORESTER
Signature
FORESTER
Signature
Signature
Signature
Signature

SECTION 6. QUESTIONS AND CERTIFICATIONS
1. I understand that by signing this statement,  the license for which I am applying will expire on the date on the license which will be issued, and that I will be required to renew this license and pay the renewal fee prior to the  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.
2. In accordance with Executive Order 01.01.1983-18, the Department Labor, Licensing and Regulation is required to advise you as follows regarding the collection of personal information:
Personal information requested by the licensing agency of the Department is necessary in determining your eligibility for licensure. Such personal information is also intended for use as an additional means of verifying the license's identity or to enable the agency to communicate, in a timely manner, with the licensee should the need arise. The licensee has a right to inspect his personal record and to amend or correct the personal data if necessary.
Personal information in generally available for inspection by the public only in accordance with the Public Information Act. Personal information is not routinely shared with state, federal or local governmental agencies.
3. I hereby certify, under penalty or perjury that the information contained herein is true and correct to the best of my knowledge, information and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor, Licensing and Regulation or have provided for payment in a manner satisfactory to the unit responsible for collection. 
Signature of Applicant   Date Signed


FOR OFFICE USE ONLY
APPROVED BY:
1.   Date
2.   Date
3.   Date
4.   Date
5.   Date
DENIED BY:
1.   Date
2.   Date
3.   Date
4.   Date
5.   Date
REASON FOR DENIAL: