Name __________________________________________________________ AWS Member # ________________________________________
Retest Application for CAWI, CWI, CWE or CWI/CWE_1105 Page 4 of 4 Oct 22, 2020
7. American with Disabilities Act Accommodations
By checking this box I am requesting special accommodations due to a disability. AWS is committed to complying fully with
the ADA. A copy of the accommodations request form can be found at our website.
Will you be using a glucose meter during your exam? Yes No
http://www.aws.org/ada-disability-accommodations
8.Visual Acuity Form
A current Visual Acuity Form must be completed and submitted with this application. Click here for a copy of the form.
9. Photo Requirements
Do not send photo if a current one is already on file within the last 12 months, otherwise click here.
10. Proof of Identity
Please attach a color copy of your current Government issued ID to this application, such as a driver’s license or passport.
11. Terms and Conditions- Please check, date, and sign below.
PROGRAM AND REGISTRATION TERMS, POLICIES, AND FEES
I hereby certify that I have read the program requirements contained in the following program document:
• QC1 Standard for the AWS Certification of Welding Inspectors
• B5.1 Specification for the Qualification of Welding Inspectors
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. I further understand that any required information that is incomplete or missing will cancel
this registration.
EXAMINATION POLICIES AND RULES
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, during, or after the exam as stated on the Candidate Attestation Agreement (Please click and read this link prior to
accepting the Terms and Conditions. You will be required to sign this form on exam day). I understand that a violation of this oath
may be grounds for invalidation of my certification and may be grounds for expulsion from any future testing. AWS may send
text alerts regarding your seminar and/or exam site information or status.
COVID-19/COMMUNICABLE DISEASE LIABILITY POLICIES AND WAIVER
Furthermore, I certify that I have read and understand the COVID-19/Communicable Disease Liability Waiver requirements. I
certify that I understand that I will be asked to sign this waiver at the start of any AWS seminar, class, exam, or other AWS event. I
further understand that failing to agree to the pronouncements in the waiver will disqualify me from participating in the event,
and I will be barred from entering the event room or participating the event. I further understand that being barred for failing to
agree to the pronouncements will result in forfeiture of all registration fees. I understand that I will also be barred from the event
if I do not attest to both of the COVID-19 statements related to recent symptoms and exposure risks.
Applicant’s Signature ______________________________________________________ Date _________________________
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