CWI ONLY OR CWI/CWE COMBO RE-EXAM APPLICATION

Mail to: 8669 Doral Blvd. Suite 130 Doral, FL 33166-6640 (800) 443-9353 or (305) 443-9353, ext. 273

Faxed or emailed applications are NOT accepted

Applicants Last Name First Name Mailing Address Address contd
Expiration Date

METHOD OF PAYMENT
MI Apt #

Payment must accompany your application.

Check or Money Order #_______________ VISA MC AMEX Diners Discover
Credit Card #

City, State, Zip Code

Mo Yr Signature

Social Security Number

X X X X X

Date of Birth mm/dd/yy Mobile Telephone number

AWS USE ONLY

Date ______________________________ Acct # _____________________________ Amt $ _____________________________ CWI

Home Telephone number E-mail

Original exam date Have you re-tested since your original exam date? Account # Certification # (if applicable) Name of Agency City, State Seminar date

PLEASE CHECK TEST PART(S)

Yes

No

Part A Fundamental Part B Practical Part C Code Application

D1.1 D1.5 API-1104 D1.2 D15.1

If taking a non-AWS seminar prior to exam, please answer the following:

ASME VIII, ASME IX

ASME IX, B31.1, B31.3

ADD CWE CERTIFICATION REQUIRED DOCUMENTS: COPY OF WELDER CERTIFICATION OR TEST RECORD CWE WELDING INSTRUCTOR CREDENTIALS
ALLOW 3-4 WEEKS PROCESSING TIME. CONFIRMATION LETTERS WILL BE EMAILED UNLESS EMAIL ADDRESS IS NOT INDICATED

PLEASE INDICATE THE EXAM LOCATION OF YOUR CHOICE AWS Seminar/Exam Schedule- Please visit our website http://www.aws.org/certification/seminarexam/
1st Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________ 2nd Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________ 3rd Site Code: _________________ Exam Date: __________________ City/State: _______________________ *Submission Deadline: __________________

NOTE: AWS strongly recommends the applicant selects a second and third site location alternative. If the first choice is not available, the next available location
will be selected. Please do not make any hotel or flight arrangements until you have received your exam confirmation letter from the Certification Department.

Please indicate the following seminar of your choice or choose Examination only
API-1104 Code Clinic workshop (code book not supplied) API1104 Seminar Week Pak (code book not supplied)

D1.1 Code Clinic workshop (code book not supplied) D1.1 Seminar Week Pak Visual Inspection Workshop Seminar Retake Week Course (books not included)
Available to candidates within one year of their original seminar start date.

Welding Inspection Technology workshop EXAMINATION ONLY

AWS Policies and Fees Please visit our website http://www.aws.org/certification/policiesfees/ Re-Exam Fees Please visit our website http://www.aws.org/certification/pricelist/ Visual Acuity Record - please visit our website http://www.aws.org/certification/docs/VisualAcuityRecord.pdf
CWI Re-Exam Application Page 1 of 1 October 10, 2012