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AWS CWI Application
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CWI Application- Int'l Agent Page 1 of 4 Ver: February 28, 2013
FULL LAST NAME- AS IT APPEARS ON YOUR INTERNATIONAL PASSPORT OR NATIONAL ID (IN ENGLISH)
FULL FIRST NAME- AS IT APPEARS ON YOUR INTERNATIONAL PASSPORT OR NATIONAL ID (IN ENGLISH)
1. Testimonial(this section MUST be completed or application will be rejected)
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 hereby certify that I have read the standard requirements contained in AWS QC1, Standard for AWS Certification of Welding Inspectors. Further, I agree to comply with the existing requirements and any subsequent requirements instituted by AWS. I have read and agree to the terms and conditions set forth in the AWS Policies and Fees form.
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.
Provide a copy of International Passport or National Identity Document translated to English. Submit an updated Visual Acuity Record. http://www.aws.org/certification/docs/VisualAcuityRecord_v1.pdf
__________________________________________________ __________________
AWS USE ONLY
Acct # ___________________________ Date: ___________________________ Amt $: _______________________ CWI-I
AWS Certified Welding Inspector (CAWI/CWI/SCWI)Application for International Agent Exams
2. I am applying for (mark only one): CAWI CWI
Site Code ___________________ Exam Date ________________ Country ______________________ Agency _______________________
3. COMPLETE THE FOLLOWING
Your AWS Member # (if applicable) ________________________
Check here if taking a seminar/course prior to the exam.
Name of Agency:____________________________________________________
City, Country:______________________________________________________
Date:_____________________________________________________________
5. SELECT ONE OF THE FOLLOWING FOR YOUR CODEAPPLICATION TEST SUBJECT (CAWI and CWI only)
AWS D1.1 Structural Steel Code(Arabic, Chinese, English, Portuguese, Spanish, and Russian)
API-1104 Pipelines 20th edition(Arabic, Chinese, English, Portuguese, Spanish, and Russian)
AWS D1.2 Structural Aluminum Code (English only)
AWS D15.1 Railroad (English only)
AWS D17.1- Aerospace - Fusion Welding (English only)
ASME Sections VIII (Div 1) & IX (English only)
4. CHOOSE EXAM LANGUAGE
ENGLISH
() CHINESE-ENGLISH
(ESPAOL) SPANISH-ENGLISH
() RUSSIAN-ENGLISH
(PORTUGUS) PORTUGUESE-ENGLISH
() ARABIC-ENGLISH
Mail to: 8669 Doral Blvd. Suite 130 Doral, FL 33166-6640 , U.S.A.Phone: (1) (800) 443-9353
NOTARY SEAL or COMPANY SEAL of CANDIDATES CURRENT EMPLOYER or
AUTHORIZED INTERNATIONAL AGENT SEAL
Note For code book editions and other exam information please visit our website www.aws.org/certification/endorsebok
SCWI
Applicants Signature Date dd/mm/yyyy
ASME Section IX, B31.1 and B31.3 (English only)
AWS D1.5 Bridge Welding Code (English Only)
Name ______________________________________________________________________ AWS Member # _______________
CWI Application- Int'l Agent Page 2 of 4 Ver: February 28, 2013
6. PERSONAL INFORMATION
ADDRESS
ADDRESS (CONTD) APT #
CITY/STATE / PROVINCE
COUNTRY POSTAL CODE
HOME TELEPHONE NUMBER WORK TELEPHONE NUMBER
MOBILE TELEPHONE NUMBER
E-MAIL ADDRESS - REQUIRED
DATE OF BIRTH DD/MM/ YYYY
7. Current Job
Type of Business (check only ONE)
A Contract construction
B Chemicals & allied products
C Petroleum & coal industries
D Primary metal industries
E Fabricated metal products
F Machinery except elect. (incl. gas welding)
G Electrical equip., supplies, electrodes
H Transportation equip. - air, aerospace
I Transportation equip. - automotive
J Transportation equip. - boats, ships
K Transportation equip. - railroad
L Utilities
M Welding distributors & retail trade
N Misc. repair services (incl. welding shops)
O Educational Services
(univ., libraries, schools)
P Engineering & architectural services
(incl. assns.)
Q Misc. business services
(incl. commercial labs)
R Government (federal, state, local)
S Other
Job Classification (check only ONE)
01 President, owner, partner, officer
02 Manager, director, superintendent
(or assistant)
03 Sales
04 Purchasing
05 Engineer welding
06 Engineer other
07 Inspector, tester
08 Supervisor, foreman
09 Welder, welding or cutting operator
10 Architect, designer
11 Consultant
12 Metallurgist
13 Research & development
14 Technician
15 Educator
16 Student
17 Librarian
18 Customer service
19 Other
20 Engineer - design
21 Engineer - manufacturing
22 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
Exam Information and Documents Delivery: All the information related to your certification process will be directed and addressed to your Agent. Please contact your AWS International Agent in order to know information about your exam, policies, fees, results, and certification documents.
The documents AWS QC1 and AWS B5.1 must be read: http://www.aws.org/certification/docs/QC1-2007.pdf http://www.aws.org/certification/docs/b5.1-2003-errata.pdf
The International Certification Schedule is available on our webpage, just click on "View Schedule Information" http://www.aws.org/certification/inter_contact.html
Name _____________________________________________________________________ AWS Member # _________________
CWI Application- Int'l Agent Page 3 of 4 Ver: February 28, 2013
(Initials)
8. Education Level: check the appropriate box below
_______ I understand that all work experience and education documented on this application will be verified by AWS prior to exam confirmation.
9. Additional Education VoTech Credits
MUST attach transcripts of welding related courses or diploma
Check No. of years attended
0 1 2 3 4 5 6Maximum one (1) year work substitution credit only if courses completed and within a curriculum related to welding. (Must attach proof of graduation or transcripts)
University CreditsMUST attach transcripts of engineering-
level courses or diploma
Check No. of years attended Maximum two (2) years work substitution credit only if the degree is in engineering technology, engineering, or physical science (Must attach proof of graduation or transcripts)
10. Qualifying Work Experience: rsum/CV's are not accepted PLEASE DUPLICATE THIS SECTION FOR EACH ADDITIONAL EMPLOYER IN ORDER TO MEET THE QUALIFYING WORK EXPERIENCE REQUIREMENTS
Did not graduate high school, but completed the 8th
grade
CWI applicants must document nine (9) years of work experience in the Qualifying Work Experience Section below. CAWI applicants must document four (4) years of work experience in the Qualifying Work Experience Section below.
High school graduate (must attach proof of graduation)
CWI applicants must document five (5) years of work experience in the Qualifying Work Experience Section below. CAWI applicants must document two (2) years of work experience in the Qualifying Work Experience Section below.
Did not complete the 8th grade
CWI applicants must document twelve (12) years of work experience in the Section below. CAWI applicants must document six (6) years of work experience in the Qualifying Work Experience Section below.
Company Name Type of Business Company Phone Number
Company Street Address City, State, Country, Postal Code
Supervisors Name Title of Immediate Supervisor
Supervisors Email Address Department
Applicants Job Title Employed From:
(Mo.) (Yr.)
To:
(Mo.) (Yr.)
Job Responsibilities- Detailed Description Required*
Company Name Type of Business Company Phone Number
Company Street Address City, State, Country, Postal Code
Supervisors Name Title of Immediate Supervisor
Supervisors Email Address Department
Applicants Job Title Employed From:
(Mo.) (Yr.)
To:
(Mo.) (Yr.)
Job Responsibilities- Detailed Description Required*
0 1 2 3 4 5 6
SCWI applicants must document fifteen (15) years of work experience, and must have been certified as a CWI during 6 years or more.
Name _________________________________________________________________ AWS Member # _______________
CWI Application- Int'l Agent Page 4 of 4 Ver: February 28, 2013
11. Employment Verification (THIS SECTION MUST BE COMPLETED BY A SUPERVISOR OR PERSONNEL MANAGER FROM THE MOST RECENT EMPLOYER)
ATTACH A LETTER FROM YOUR MOST RECENT EMPLOYER ON COMPANY LETTERHEAD CERTIFYING YOUR TIME EMPLOYED, FUNCTIONS, AND JOB TITLE HELD.IF CURRENTLY SELF-EMPLOYED OR A CONTRACT APPLICANT YOU MUST SUBSTITUTE THIS SECTION WITH A LETTER OF REFERENCE ON COMPANY LETTERHEAD FROM TWO (2) SEPARATE CLIENTS ATTESTING TO THE NATURE OF WORK ASSIGNMENTS DURING THE PERIOD OF PERFORMANCE, TYPE OF WORK DONE AND LENGTH OF TIME AS A CLIENT.
Company Name: _________________________________________ Company Phone: ___________________________________________
Company Address: ____________________________________________________________________________________________________
City, State: _________________________________________________ Postal Code: ________________ Country: ______________
I _____________________________________________ , verify that __________________________________ maintained employment at
________________________________________ from ________________________ to ________________________________________ .
Signature: __________________________________________________________________
Date: ________________________
Company Name Type of Business Company Phone Number
Company Street Address City, State, Country, Postal Code
Supervisors Name Title of Immediate Supervisor
Supervisors Email Address Department
Applicants Job Title Employed From:
(Mo.) (Yr.)
To:
(Mo.) (Yr.)
Job Responsibilities- Detailed Description Required*
Company Name Type of Business Company Phone Number
Company Street Address City, State, Country, Postal Code
Supervisors Name Title of Immediate Supervisor
Supervisors Email Address Department
Applicants Job Title Employed From:
(Mo.) (Yr.)
To:
(Mo.) (Yr.) Job Responsibilities- Detailed Description Required*
Supervisor/Personnel Managers Name (print)
Employees Name (print)
Company Name
Supervisor/Personnel Managers Signature
(print)
Date dd/ mm/yyyy Date dd/ mm/yyyy or Present
dd/mm/yyyy COMPANY SEAL OF CANDIDATES CURRENT EMPLOYER
Untitled
Date: Site Code: Exam Date: Country: Agency: Your AWS Member if applicable: Check here if taking a nonAWS seminar prior to the exam: Name of Agency: City Country: Date_2: HOME TELEPHONE NUMBER: WORK TELEPHONE NUMBER: EMAIL ADDRESS REQUIRED: DATE OF BIRTH DDMM YYYY: undefined_4: 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: Engineering architectural services: Misc business services: Government federal state local: Other: President owner partner officer: Manager director superintendent: 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_2: Engineer design: Engineer manufacturing: Quality Control: Ferrous metals: Aluminum: Nonferrous except aluminum: Advanced materialsintermetallics: 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_3: Automation: Robotics: Computerization of Welding: I understand that all work experience and education documented on this application will be verified by AWS: Did not complete the 8: Did not graduate high school but completed the 8: High school graduate must attach proof of graduation: University Credits: Company Name: Type of Business: Company Phone Number: Company Street Address City State Country Postal Code: Supervisors Name: Title of Immediate Supervisor: Supervisors Email ddress: pplicants Job Title: Company Name_2: Type of Business_2: Company Phone Number_2: Company Street Address City State Country Postal Code_2: Supervisors Name_2: Title of Immediate Supervisor_2: Supervisors Email ddress_2: Department_2: pplicants Job Title_2: Company Name_3: Type of Business_3: Company Phone Number_3: Company Street Address City State Country Postal Code_3: Supervisors Name_3: Title of Immediate Supervisor_3: Supervisors Email ddress_3: Department_3: pplicants Job Title_3: Most Recent Employer: Type of Business_4: Company Phone Number_4: Company Street Address City State Country Postal Code_4: Supervisors Name_4: Title of Immediate Supervisor_4: Supervisors Email ddress_4: Department_4: pplicants Job Title_4: Company Name_4: Company Phone: Company Address: City State: Postal Code: Country_2: verify that: Company Name_5: from: to: Date_4: FULL FIRST NAMEAS IT APPEARS ON YOUR INTERNATIONAL PASSPORT OR NATIONAL ID IN ENGLISH:
FULL LAST NAMEAS IT APPEARS ON YOUR INTERNATIONAL PASSPORT OR NATIONAL ID IN ENGLISH:
AWS Member:
mm: VoTech Credits: 0 vo: 1 vo: 2 vo: 3 vo: 4 vo: 5 vo: 6 vo: 0 u: 1 u: 2 u: 3 u: 4 u: 5 u: 6 u: Job ResponsibilitiesDetailed Description Required 1: Job ResponsibilitiesDetailed Description Required 11: Job ResponsibilitiesDetailed Description Required 12: Job ResponsibilitiesDetailed Description Required 13: supervisor manager name: SCWI: CWI: Employed From Mo 1: Employed From Yr 1: Employed to Mo 2: Employed to Yr 2: Employed From Mo 3: Employed From Yr 3: Employed From Mo 4: Employed From Yr 4: Employed From Mo 5: Employed From Yr 5: Employed From Mo 6: Employed From Yr 6: Employed From Mo 7: Employed From Yr 7: Employed From Mo 8: Employed From Yr 8: CAWI 24 years work experience: EN: CN: ES: RU: POR: ARA: D1: API: D1 2: D1 5: D15 1: ASME 8: COUNTRY: POSTAL CODE: ADRESS CONTD: APT#: ADDRESS: CITYSTATE PROVINCE: MOBILE TELEPHONE #: Department: CITY STATE COUNTRY 2: CITY STATE COUNTRY 3: CITY STATE COUNTRY 1: CITY STATE COUNTRY 4: ASME 9: aws aerospace: undefined_13: undefined_14: undefined_15: undefined_16: undefined_17: