Structural Engineers of New Hampshire

* First Name

* Last Name

Middle Initial

Employer or Affiliation

* Address

Address Line 2

Type of Address

* City

* State

* Zip Code

* Phone Number

Fax Number

* E-mail Address

* Select a Group

N
Y

Do you wish for SENH to share your e-mail address with NCSEA to receive their announcements?

Yes
No

Are you a licensed P.E. in New Hampshire?

Yes
No

If yes, P.E. #

Are you licensed in other states?

Yes
No

If Yes, please list states

If not a P.E., do you hold E.I.T. status?

Yes
No

If Yes, please list state

Are you certified by the Structural Engineering Certification Board?

Yes
No

Are you currently practicing structural engineering?

Yes
No

Are you currently a student enrolled in an ABET accredited engineering or technical program?

School Name

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