INITIAL CAWI/CWI

8669 NW 36 St, # 130 Miami, FL 33166-6672

EXAM APPLICATION
(800) 443-9353 or (305) 443-9353, ext. 273
Faxed or emailed applications are NOT accepted

Last Name (Must match current Government Issue ID) First Name (Must match current Government Issue ID) MI

1. Indicate the exam location of your choice: Confirmation will be emailed in 3-4 weeks from receipt.
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: If the first choice is not available, registration will indicate the next available choice site. DO NOT make any hotel or flight arrangements until you have
received your exam confirmation letter from the Certification Department via email. * Refer to AWS Policies and Fees and Seminar and Exam Schedule

2. Check and complete the following 4. Indicate the following AWS seminar of your choice or choose
Examination Only below
Your AWS Member # (if applicable):__________________________
D1.1 SEMINAR AND EXAM PACKAGE (code book included)
1. D1.1 Code Clinic
Check here if taking a non-AWS seminar prior to the exam. 2. Welding Inspection Technology Workshop
Name of Agency 3. Visual Inspection Workshop
4. Certification Exam
add CWI Pre-Seminar (online course only)
City, State: Date:

API 1104 SEMINAR AND EXAM PACKAGE

(code book not provided)
3. Select one of the following code application test subject
1. API 1104 Code Clinic
AWS D1.1 Structural Steel Code 2. Welding Inspection Technology Workshop
3. Visual Inspection Workshop
API-1104 Pipelines 4. Certification Exam
add CWI Pre-Seminar (online course only)
AWS D1.2 Structural Aluminum Code *
INDIVIDUAL CODE CLINICS/WORKSHOPS:
AWS D1.5 Bridge Welding Code *
D1.1 Code Clinic (code book not supplied)
AWS D15.1 Railroad *
API-1104 Code Clinic (code book not supplied)
AWS D17.1 Aerospace * Welding Inspection Technology Workshop

ASME Sections VIII (Div 1) & IX * Visual Inspection Workshop

CWI Pre-Seminar (online course only)
ASME Section IX, B31.1 and B31.3 *
*Code clinic not available
EXAMINATION ONLY
For code book editions and other exam information CWI Body of Knowledge

5. Method of Payment For Exam Fees Certification Price List AWS USE ONLY
Payment must accompany this application
All checks and money orders made payable to AWS Acct #: ___________________________________
Check or money order #_______________________

VISA MC AMEX Discover

Date: ____________________________________
CC#: / / / Exp: /
Amt $:_______________________________CWI
SIGNATURE:_____________________________________________________________ CVV: ___________________

Initial CAWI/CWE Exam Application_2215 Page 1 of 4 January 26, 2017

 Name ____________________________________________ AWS Member # ____________________________
6. Personal Information
Address

Address (contd) Apt #

City and State / Province / Country Zip Code

Home Telephone Number Work Telephone Number Mobile Telephone Number

Date of Birth (example November 30 1952) U.S. Social Security Number (last 4 only)
x x x x x x
Month Day Year

E-Mail Address (confirmation notification will be sent to this address)

7. Associations
TYPE OF BUSINESS (CHECK ONLY ONE) Job Classification (check only ONE) Technical Interests (check ALL that apply)

A Contract Construction 01 President, owner, partner, officer Robotics

Computerization of Welding
B Chemicals & Allied products 02 Manager,Director,Superint.(or assistant)
Ferrous Metals
03 Sales
C Petroleum & Coal Industries Aluminum
04 Purchasing Nonferrous Metals Except Aluminum
D Primary Metal Industries
05 Engineer welding Advance Materials/Intermetallics
E Fabricated Metal Products
Ceramics
06 Engineer other
F Machinery Except Elect. (incl. Gas Welding) High Energy Beam Process
07 Inspector, tester Arc Welding
G Electrical Equip., Supplies, Electrodes
08 Supervisor, foreman Brazing & Soldering
H Transportation Equip. - Air, Aerospace
09 Welder, welding or cutting operator Resistance Welding
I Transportation Equip. - Automotive Thermal Spray
10 Architect, designer
J Transportation Equip. - Boats, Ships Cutting
11 Consultant NDT
K Transportation Equip. - Railroad
12 Metallurgist Safety & Health
L Utilities Bending & Shearing
13 Research & development
M Welding Distributors & Retail Trade Roll Forming
14 Technician Stamping & Punching
N Misc. Repair Services (incl. welding Shops)
15 Educator Aerospace
O Educational Services (Univ,Libraries,Schools)
Machinery
P Engineering & Architectural Serv.(Incl.Ass.) 16 Student
Q Misc. Business Services (Incl.Comm.Labs) Marine
17 Librarian Piping & Tubing
R Government (Federal,State,Llocal)
18 Customer service Pressure Vessels & Tanks
S Other
19 Other Sheet Metal
Structures
20 Engineer - design Other
21 Engineer - manufacturing Automation
22 Quality Control Computerization of Welding

Initial CAWI/CWE Exam Application_ 2215 Page 2 of 4 January 26, 2017

 Name ____________________________________________ AWS Member # ____________________________
8. 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. Click here for a copy of the accommodations request package.
9. Qualifying Education and Experience Requirements
Check the box indicating your highest level of education. If using education for work experience, you must include a copy of transcripts for
engineering, engineering technology, physical science or vocational education courses.
Minimum Work History
Minimum Education Level CAWI CWI
Completed less than 8th grade 6 years 12 years
Completed 8th grade
4 years 9 years
(You can combine 1 yr. Vo-Tech + 3 yrs. Work Experience to meet the min. requirements for CAWI)
High Diploma or GED 2 Years 5 years

High school diploma plus one-year engineering/technical school courses or one or more years of vocational
6 Months 4 years
education and training in a welding curriculum.

High school diploma plus two or more years engineering/technical school courses. 6 Months 3 years

Associate or higher degree in engineering technology, engineering, or a physical science. 6 Months 2 years

Bachelor or higher degree in welding engineering or welding technology - 1 year

10. Qualifying Work Experience: Resumes not accepted. This section must be completed.
DUPLICATE THIS SECTION FOR EACH ADDITIONAL EMPLOYER

Company Name Type of Business Company Phone Number

Company Street Address City, Province, Country, Postal Code

Supervisors Name Title of Immediate Supervisor

Supervisors Email Address Department

Applicants Job Title Dates of Employment

From To
(Mo.) (Yr.) (Mo.) (Yr.)
Job Responsibilities
Detailed Description Required

11. Employment Verification

This section MUST be completed by a supervisor or personnel manager for the most recent or current employer indicated above.
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
If the employer is no longer in business, include a copy of the W2 form.

Company Name: _________________________________________ Company Phone: __________________________________________

Company Address: ___________________________________________________________________________________________________

City, State: __________________________________________________ Zip Code: _________________________ Country: _____________

I ______________________________________________ , verify that __________________________________ maintained employment at

Supervisor/Personnel Managers Name Employees Name (print)
(print)

________________________________________ from _________________________ to __________________________

Company Name Date mm/yyyy Date mm/yyyy or Present

Signature: _________________________________________________________________ Date: __________________________________

Supervisor/Personnel Managers Name Month/Day/Year
(print)
Initial CAWI/CWE Exam Application_ 2215 Page 3 of 4 January 26, 2017
Name ____________________________________________ AWS Member # ____________________________
12. Visual Acuity Form
A current Visual Acuity Form must be completed and submitted with this application. Click here for a copy of the form.

13. 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.
Print your name and AWS membership number on the reverse of the photograph.

Photos copied or digitally scanned from

drivers licenses or other official
documents are not acceptable.

DO NOT STAPLE OR PAPER CLIP PHOTO

14. Testimonial
Applicants must read and sign the following statement in front of a Notary, Company or 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.

Applicants Signature ______________________________________________________ Date _________________________

The Following is to be completed by a Notary Public

Sworn to and subscribed before me this _______ day of______________________ 20____.

My commission expires ____________________________________________________

(Stamp or Seal required)

Notary Public Signature ____________________________________________________

Initial CAWI/CWE Exam Application_ 2215 Page 4 of 4 January 26, 2017