Initial CAWI/CWI Exam Application For International Agents 8669 NW 36 St, #130 Miami, FL 33166-6672 +1 305-443-9353 Surname First Name Address Address (cont’d) City / Province / Country Postal Code Mobile Number Date of Birth (example November 30 1952) Month E-Mail Address – required (notifications will be sent to this address) Day Year 1. Indicate the exam location of your choice Site Code: _____________________ Exam Date: _______________________________ Name of International Agency_______________________________ Your AWS Member # (if applicable): _________________________________ Agent’s Name: ________________________________________ Current Employer: ____________________________________________ 3. Choose Exam Language 2. Select one of the following code application test subjects All Exams have English translation AWS D1.1 – Structural Steel Code English API-1104 – Pipelines Chinese AWS D1.2 – Structural Aluminum Code * Spanish AWS D1.5 – Bridge Welding Code * Russian AWS D15.1 – Railroad * Portuguese AWS D17.1 – Aerospace * Arabic ASME Sections VIII (Div. 1) & IX * ASME Section IX, B31.1 and B31.3 * Korean International Exam Schedule International Agent List *Only available in English For the current code book editions please visit our website to view the CWI Body of Knowledge Please indicate your primary language: ______________________________ 3. Associations Type of Business (check only ONE) A B C D E F G H I J K L M N O P Q R S Contract construction Chemicals & allied products Petroleum & coal industries Primary metal industries Fabricated metal products Machinery except elect. (incl. gas welding) Electrical equip., supplies, electrodes Transportation equip. - air, aerospace Transportation equip. - automotive Transportation equip. - boats, ships Transportation equip. - railroad Utilities Welding distributors & retail trade Misc. repair services (incl. welding shops) Educational Services (univ., libraries, schools) Engineering & architectural services (incl. assns.) Misc. business services (incl. commercial labs) Government (federal, state, local) Other Acct # CAWI/CWI Int'l Exam Application Job Classification (check only ONE) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 President, owner, partner, officer Manager, director, superintendent (orassistant) Sales Purchasing Engineer — welding Engineer — other Inspector, tester Supervisor, foreman Welder, welding or cutting operator Architect, designer Consultant Metallurgist Research & development Technician Educator Student Librarian Customer service Other Engineer - design Engineer - manufacturing Quality Control Technical Interests (check ALL that apply) Ferrous metals Aluminum Non-ferrous except aluminum Advanced materials/intermetallics Ceramics High energy Processes Arc Welding Brazing & Soldering Resistance Welding Thermal Spray Cutting NDT Safety & Health Pipe & Tubing Pressure Vessels & Tanks Structures Roll Forming Sheet metal Stamping & punching Bending & shearing Aerospace Automotive Machinery Marine Other Automation Robotics Computerization of Welding AWS USE ONLY Date Page 1 of 3 March 07, 2016 NAME: ______________________________________________________ AWS MEMBER # ________________________ 4. Qualifying Education and Experience Requirements Check the box indicating your highest level of education. Must include a copy of degree along with an official English translation. Minimum Work History Minimum Education Level CAWI CWI 6 years 12 years grade 4 years 9 years High School Diploma 2 Years 5 years High school diploma plus one year engineering/technical school courses or one or more years of vocational education and training in a welding curriculum. --- 4 years High school diploma plus two or more years engineering/technical school courses. --- 3 years Associate or higher degree in engineering technology, engineering, or a physical science. --- 3 years Completed less than Completed 8th 8th grade 5. Employment Verification and Qualifying Work Experience (Reproduce this section for each additional employer, or print a copy) Exam candidates must provide verification of Qualified Work Experience totaling up to the minimum requirement needed for the CWI or CAWI exam. This verification may come from current and/or former employers. Section I: This section MUST be completed by a supervisor or personnel manager. Section II: This section must be completed by the applicant. Self-employed or contract applicants must substitute this section with a letter of reference on company letterhead from two (2) separate clients attesting to: o the nature of work assignments during the period of performance o type of work done o length of time as a client I. MUST BE COMPLETED BY THE APPLICANT. Company Name Type of Business Company Street Address Company Phone Number City, Province, Country, Postal Code Supervisor’s Name Title of Immediate Supervisor Supervisor’s Email Address Department Company Website Applicant’s Job Title Applicant’s Job Responsibilities Detailed Description Required II. MUST BE COMPLETED BY THE SUPERVISOR OR PERSONNEL MANAGER VERIFYING THE EMPLOYMENT CREDENTIALS OF THE APPLICANT. Company Seal/Stamp Required I __________________________________, verify that _____________________________________ Supervisor/Personnel Manager’s Name (print) Employees Name (print) maintained employment at ___________________________________________________________ Company Name from _______________________________ to _________________________________ and (Month/year) (Month/year) performed the job responsibilities indicated by the applicant in Section I above. CAWI/CWI Int'l Exam Application Page 2 of 3 March 07, 2016 NAME: AWS MEMBERSHIP # _____________________________________ 6. Visual Acuity Record A current Visual Acuity Record must be completed and submitted with this application. Click here for a copy of the form. 7. Photo Requirement Applicants MUST submit one (1) passport-style color photograph. Your photo is a vital part of your application. To learn more, review the information on how to provide a suitable photo to avoid processing delays by visiting our website. The acceptance of your photo is always at the discretion of the AWS. Photos copied or digitally scanned from driver’s licenses or other official documents are not acceptable. 2”x2” 2”x2” Print your name and AWS membership number on the reverse of the photograph. Only use tape on the BACK of the photo DO NOT STAPLE, PAPER CLIP OR GLUE PHOTO 8. Testimonial Applicants must read and sign the following statement in front of a Notary or their Authorized International Agent Certified Welding Inspector QC1 Standard for the AWS Certification of Welding Inspectors B5.1 Specification for the Qualification of Welding Inspectors I hereby certify that I have read the standard requirements contained in the certification programs indicated above. Further, I agree to comply with the existing requirements and any subsequent requirements that may be instituted by AWS. I have read and agree to the terms and conditions set forth in the AWS Policies and Fees form. I certify that the information I have included on this application is true; I understand that any false statements will nullify this application. I give AWS permission to verify this information. I agree to comply with the provisions set forth in the Standard concerning the administration of my examination and certification. Upon obtaining my certification, I give AWS the right to reveal my certification status as it relates to my validity and expiration date only. I further understand that any required information that is incomplete or missing will cancel this registration. Furthermore, I certify that I have not obtained any exam materials, have no prior knowledge of the AWS exam questions or answers, and have not and will not accept any solicitation for the AWS exam questions or answers from anyone at any time before or after the exam. I understand that a violation of this oath may be grounds for invalidation of my certification. Applicant’s Signature _______________________________________________________ Date _________________________ Sworn to and subscribed before me this _______ day of______________________ 20____. Company, Notary or Authorized International Agent’s Seal/Stamp is required My commission expires ______________________________________________________ Notary Public Signature ______________________________________________________ 9. Proof of Identity Please attach a color copy of your current government issued passport or national ID to this application. CWI stamp is not acceptable CAWI/CWI Int'l Exam Application Page 3 of 3 January 29, 2016