CAWI/CWI INITIAL APPLICATIONFor International Agents

8669 NW 36 St, # 130 Miami, FL 33166-6672(800) 443-9353 or (305) 443-9353, ext. 273

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Applicant’s Information:
Surname: ______________________________________First Name: ____________________________________

Check sections for compliance. Incomplete application will not be processed.
Personal Information – Surname, First, and Middle initial MUST be completed
Sec. 1: Personal Information – Name must match your current government issued ID or Passport
Sec. 2: Exam Location – Site Code (if Applicable), Exam Date, City/State, and Submission Deadline
Sec. 3: Codebook Package selection – select only one codebook for examination or Exam Only
Sec. 4: Associations – Type of Business, Job Classification and Technical Interests.
Sec. 5: Qualifying Education and Experience Requirements – must include a copy of degreeSec. 6: Qualifying Work Experience– must be completed for each employer to meet minimum work experience
requirement. All fields are mandatory.
Sec. 7: Employment Verification– QWE must be submitted for the company signing this section. All fields are mandatory.
Sec. 8: Visual Acuity Form – (VAF) Eye Examinations shall be performed not more than one (1) year prior to the date of
examination. Applicants shall submit results to the AWS certification department along with their application.
Sec. 9: Proof of Identity – current color copy of government passport or national ID
Sec. 10: Photo Requirement – To learn more, review the information on how to provide a suitable photo HERE or visit
http://www.aws.org/certification/page/photo-id-requirements
Sec. 11: IIW Waiver (optional) - if seeking to be exempt from taking Part A (Fundamentals) of the CWI exam, include a color
copy of your IIW Diploma. More about this Part A waiver HERE or visit https://www.aws.org/certification/page/cwi-by-iiwdiplomaSec. 12: Terms and Conditions - This section of the application must be read, checked, dated, and signed by theapplicant taking the exam.

上記チェックボックスで完了したものにチェックを入れてください。

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Application must be completed and signed by the person taking the exam
Name must match your current government issued ID or Passport

1. Personal Information
SurnameFirst Name

Street Address
City/Province/Country

Postal Code

Date of Birth (mm/dd/yyyy)

Email

Mobile Phone

2. Exam Location -Confirmation will be emailed in 3-4 weeks from receipt

Site Code: ____________ Exam Date: _______________ Name of Agency: _______________________________________*Only if applicable

SiteCodeは受験する回毎に変わります。該当するコードをAWSホームページで確認してください。不明な場合は当センターにご連絡ください。受験日(mm/dd/yyyy）Name of
Agencyは「The Japan Welding Technology Center」と記入願います。

3. Code Book: choose one of the package options below, or select “CWI Examination Only”

CODEBOOK (PART C)

LANGUAGE*
EnglishAWS D1.1 – Structural Steel CodeChineseAWS D1.2 – Structural Aluminum CodeAWS D1.5 – Bridge Welding CodeSpanishAWS D15.1 – Railroad

RussianAWS D17.1 – Aerospace
ASME BPVC Section VIII, Div. 1 and Section IX
ASME BPVC Section IX, Power B31.1 and Process B31.3 Piping
API-1104 – Pipelines
ISO Standards

Portuguese
Japanese
Korean

自分の受験に合った記述を選択する* all exams have English translation

International Exam Schedule

International Agent List

Initial CAWI/CWI Exam Application 1101

International Bank Info

April 14, 2021

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5. Associations
TYPE OF BUSINESS (CHECK ONLY ONE)Job Classification (check only ONE)Technical Interests (check ALL that apply)
Robotics
Computerization of Welding
Ferrous Metals
AluminumNonferrous Metals Except Aluminum
Advance Materials/Intermetallics
Ceramics
High Energy Beam Process
Arc Welding
Brazing & Soldering
Resistance Welding
Thermal Spray
Cutting
NDT
Safety & Health
Bending & Shearing
Roll Forming
Stamping & Punching
Aerospace
Machinery
MarinePiping & Tubing
Pressure Vessels & Tanks
Sheet Metal
Structures
Other
Automation
Computerization of WeldingA

Contract Construction

01 ✔ President, owner, partner, officer

B

Chemicals & Allied productsC

Petroleum & Coal Industries

02
03

Manager,Director,Superint.(or assistant)
Sales

D

Primary Metal Industries

04

Purchasing

E

Fabricated Metal Products

05

Engineer — welding

F

Machinery Except Elect. (incl. Gas Welding)

06

Engineer — other

GElectrical Equip., Supplies, Electrodes07

Inspector, tester

08

Supervisor, foreman09

Welder, welding or cutting operator

10

Architect, designer

11

Consultant

12

Metallurgist

13

Research & development

14

Technician

15

Educator

16

Student

17

Librarian18

Customer service

19

Other

20

Engineer - design

21

Engineer - manufacturing

22

Quality Control

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 Serv.(Incl.Ass.)Q

Misc. Business Services (Incl.Comm.Labs)R

Government (Federal,State,Llocal)

S

Other

Initial CAWI/CWI Exam Application 1101

October 23, 2019

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5. 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 forengineering, engineering technology, physical science or vocational education courses. Must include a copy of degree along with an official
English translation.

Minimum Work History

Minimum Education Level

CAWI

CWI

Completed less than 8th grade

6 years

12 yearsCompleted 8th grade(You can combine 1 yr. Vo-Tech + 3 yrs. Work Experience to meet the min. requirements for CAWI)

4 years

9 years

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
education and training in a welding curriculum.

1 Year

4 years

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

6 Months

1 year

6. Qualifying Work Experience: - Resumes not accepted -ALL FIELDS ARE MANDATORYDUPLICATE THIS SECTION FOR EACH ADDITIONAL EMPLOYER

Company Name

Type of BusinessCompany Phone Number

Company Street Address

City, Province, Country, Postal CodeSupervisor’s Name

Title of Immediate Supervisor

Supervisor’s Email Address

Department

Applicant’s Job Title

From
(Mo.)

Dates of Employment

To

(Yr.)

(Mo.)

(Yr.)

Job Responsibilities

Detailed Description Required

どのような事業/製品のどういった業務に携わっているのかできる限り詳しく書いてください。説明が単純すぎて再提出を求められたケースが何度もあります。

7. 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 performanceo type of work doneo length of time as a client•
If the employer is no longer in business, include a copy of the W2 form.

この部分は受験者の上司の方に記入をお願いします。

Company Name: _________________________________________

Company Phone: __________________________________________

Company Address: ___________________________________________________________________________________________________
City, State: __________________________________________________ Zip Code: _________________________ Country: _____________
I ______________________________________________ , verify that __________________________________ maintained employment at
Supervisor/Personnel Manager’s Name

Employee’s Name (print)________________________________________ from _________________________ to __________________________
Date mm/yyyy

Company

Date mm/yyyy or Present

Signature: _________________________________________________________________ Date: __________________________________
Supervisor/Personnel Manager’s Name

Initial CAWI/CWI Exam Application 1101

Month/Day/Year

April 14, 2021

8. Visual Acuity Form
A current Visual Acuity Form must be completed and submitted along with this application (page 7 of this application).
9. 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.
10. 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 ofyour 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 fromdriver’s licenses or other official
documents are not acceptable.

DO NOT STAPLE OR PAPER CLIP PHOTO

背景が必ず白色のカラー写真を51mmx51mmのサイズにして上記位置に貼り付けるか別ファイルで送ってください。

Intentionally Left Blank

Initial CAWI/CWI Exam Application 1101

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11. IIW Waiver

AWS offers a waiver for the Part A portion of the CWI exam if the applicant can demonstrate a current diploma
from the International Institute of Welding (IIW). Please include a color copy of your diploma with thisapplication if you wish to obtain the Part A waiver. AWS staff will verify the diploma’s authenticity. The diplomas
by IIW that are accepted for this exception are limited to International Welding Engineer (IWE), International
Welding Inspector (IWIP), International Welding Specialist (IWS), and International Welding Technologist (IWT).

12. Candidate Attestation and General Terms of Use- 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 theadministration of my examination and certification. Upon obtaining my certification, I give AWS the right to reveal mycertification 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 toaccepting the Terms and Conditions. You will be required to sign this form on exam day). I understand that a violation of thisoath 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 barredfrom 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: ___________________________

上記は直筆サイン、日付を記入願います
Intentionally Left Blank
きちんと表示されていることを確認してください。

Initial CAWI/CWI Exam Application 1101

April 14, 2021

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VISUAL ACUITY FORM

Member #: _______________ Online Order #: _______________ Site Code: _____________ Date:_________________
Last Name: ________________________________First Name: ______________________________ MI:___________

ApplicantThis form must be submitted for all SCWI/CWI/CAWI/CRI/CWEng applications ONLY.
AWS will not release exam results, recertification results, or renewals without a completed Visual Acuity Record on file.
IMPORTANT: This completed Visual Acuity Form must be sent to the AWS Certification Department along with the application. Applicants
who have not fulfilled all requirements and/or have not submitted the form, shall have test scores/application voided and may be injeopardy of forfeiting application fees. This form may be sent via email or mail.

Eye Examination
Eye examinations shall be administered by an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician’s
Assistant or by other ophthalmic medical personnel and must include the state or province license number. Examinations shall be performed
not more than one (1) year prior to the date of the certification examination or the expiration date for renewals and recertifications. New
visual acuity records do not need to be supplied for retests occurring within one (1) year from the original examination date.
All applicants must pass an eye examination, with or without corrective lenses, to prove near vision acuity on Jaeger J2 at 12 in. or greater(≥30.5 cm). All applicants shall take a color perception test. Eye examination results must be documented on this Visual Acuity Record form
supplied by the AWS Certification Department. No other forms will be accepted.

1.

ここから下は印刷したものを医師の方に記入をお願いします。

The following must be completed by the eye examiner:

A. Verify the customer’s close vision acuity to Jaeger J2 specifications at a distance of 12 inches or greater (≥30.5 cm) AWS Use(Check ONLY one of the following for each eye)
OD

OS

Only

Requires corrected vision to read Jaegar J2 at 12 in. or greater.

W

No correction is required to read Jaegar J2 at 12 in. or greater.

O

Unable to read Jaegar J2 at 12 in. or greater even with attempt at correction.

NQ

B. Through a color perception examination, is the applicant colorblind?

AWS Use
Only(Check ONLY one of the following for each eye)
OD

OS

Customer IS NOT colorblindC

Customer IS colorblind.

B

2. Examiner’s Contact Information (print clearly)

Customer Name

Date of eye exam:

Examiner Name:

Phone Number:

Examiner Address:
City:

State:

Zip/Postal Code:Country:

3. Examiner professional status (check only one)
Ophthalmologist

Optometrist

Examiner Signature:

Initial CAWI/CWI Exam Application 1101

Medical Doctor

Registered Nurse

State/Prov. License number:

April 14, 2021