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Your Personal Information

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Apt, PO, Etc.

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Referrals

Please identify two professional colleagues or supervisors who have agreed to serve as your referrals. Upon entering their information, they will receive a form to complete acknowledging their endorsement of you.

After submission of this application, please notify your referrals to monitor their inbox. Any delays may impact your application.

Referral #1 First Name

Referral #1 Last Name

Referral #1 Email

Referral #2 First Name

Referral #2 Last Name

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Background & Eligibility

Current Employer Name

Eligibility Status

Bachelor's degree from an accredited college or university and a minimum of 3 years experience

Minimum of 6 years experience

Applying as an Intern to take the examination

Currently Certified and wish to retake the examination to fulfill my current recertification requirement

Reapplicant for the LC Examination

The last time I attempted this exam was (approximately)

Education Level

Please describe your Education

Years as a lighting practitioner?

Which best describes your primary job responsibility

Please describe:

Please identify any other organization you are a part of:

Transcript Information

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