AMERICAN RADIO RELAY LEAGUE / VEC
CANDIDATE ROSTER
TEST SITE (city, state or country): __________________________________________ SESSION DATE: _______________________
ELEMENT(S) TAKEN / CREDIT [write in applicable letter(s)]
APPLICANT'S NAME
(please print)
FEE
PAID
()
CALL SIGN
(if any)
LICENSE
class
before
session
(if any)
P = PASS
F = FAIL
C = CSCE credit (earned within 365 days)
CT = Element 3 written credit for pre-03/21/1987 Technicians
NEW LICENSE
Class qualified for
Technician
General
Extra
at this test session
( Tech - General – Extra )
2
3
4
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Page ______ of _______
Number of applicants listed on this page ________
Copies: WHITE -- VEC's Permanent Record. VE Team (only) is to make entries on this page. YELLOW -- VE Team carbon -- VE Team to retain in Team records.
ARRL VEC - February 2007
AMERICAN RADIO RELAY LEAGUE / VEC
CANDIDATE ROSTER
TEST SITE (city, state or country): _____________Newington, CT_______________ SESSION DATE: _______03/01/2007________
EXAMPLE FOR REFERENCE
APPLICANT'S NAME
(please print)
ELEMENT(S) TAKEN / CREDIT [write in applicable letter(s)]
FEE
PAID
CALL SIGN
(if any)
()
LICENSE
class
before
session
(if any)
1.
John Smith
2.
Mary Smith
3.
Pete Warner
K1HJW
4.
John Proctor
K1JMP
5.
Nonie Madone
6.
Ann Brinius
7.
Amanda Grimaldi
8.
John Proctor
Page ______ of _______
Number of applicants listed on this page ________
KN1ABC
P
F
Tech
P
F
Tech
Tech
P
General
Tech Plus
CT
F
General
KA1ABC
Tech
P
P
Extra
pending
Tech
K1JMP
Novice
P = PASS
F = FAIL
C = CSCE credit (earned within 365 days)
CT = Element 3 written credit for pre-03/21/1987 Technicians
NEW LICENSE
Class qualified for
Technician
General
Extra
at this test session
( Tech - General – Extra )
2
3
4
Tech Plus
C
F
none
F
none
F
none
9.
10.
11.
12.
13.
14.
15.
Copies: WHITE -- VEC's Permanent Record. VE Team (only) is to make entries on this page. YELLOW -- VE Team carbon -- VE Team to retain in Team records.
ARRL VEC - February 2007