CWI/SCWI RENEWAL

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

Please use (800)checklist
this 443-9353 or to
(305)ensure
443-9353, your
ext. 273 APPLICATION
application is processed in a timely manner.
Incomplete application will not be processed.
For your convenience, please use our Certification Application Portal.
Effective November 15th,2019, this application will be charged an additional $125.00 if sent to
Application must comply with ALL items
AWS by email or paper.
listed below.

Check sections for compliance.

Personal Information – Last, First, and
Middle initial MUST be completed.
Sec. 1: Payment Method – Payment
must accompany this application-
Sec. 2: Personal Information – Name
must sections
match your for current government
Check
Sec. 3: Exam Location – Site .Code (if
compliance
issued ID or Passport
Applicable), Exam Date, City/State,
Sec. 4: Codebook Package selection –
and Submission Deadline – Last, First, and Middle initial MUST be completed.
selectPersonal
only Information
one codebook for
Sec. 5: Associations – Type of
Sec. 1: Payment
examination or Exam OnlyMethod – Payment must accompany this application.
Business, Job Classification and
Sec. Sec.
6: 2:Qualifying Education –and
Personal Information Name must match your current government issued ID or Passport.
Technical Interests.
Experience Requirements – must
Sec. Sec.
7: Qualifying Work Experience–
include a3: Member
copy Information – Please complete if you are a member.
of degree
must be completed for each employer
Sec. 4 : Renewal - Please select your renewal.
toSec.
meet8:minimum
Employmentwork experience
Verification–
Sec.
requirement.
QWE must5: Exam Location
All fields
be – Site
for Code
are mandatory.
submitted the (if Applicable), Exam Date, City/State, and Submission Deadline
Sec. 9: Visual Acuity Form – (VAF)
company Sec. signing
6: Associations – Type
this section. Allof Business, Job Classification and Technical Interests.
fields
examination shall be performed not
are mandatory.
Sec. 7: 7Qualifying Work
more
Sec. 10:than months prior
American toExperience–
the date
Disabilities Act
must be completed for each employer to meet minimum work experience
of theRequirement.
CWI All fields are mandatory.
(ADA): if applicable, candidate must
examination or
of recertification (page 6
Sec. Sec.
print 8:Photo
a11:copy American
our ADADisabilities
package
Requirement –Act
andTo(ADA): if applicable, candidate must print a copy of our ADA package and follow the
of this package)
instructions.www.aws.org/ada-disability-accommodations
follow the review the information on
learn more,
instructions.
howSec.to provide a suitableForm
photo for Examinations shall be performed not more than one (1) year prior to the date of examination.
Sec. 12: 9: Visual
Proof of Acuity – Eye
Identity – current
yourApplicants
wallet shall submitpassport
color copy of government results to orthe AWS certification department along with their application .
Sec.
card 13: Terms on and Conditions
our - web
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Photo Requirement
section application
www.aws.org/certification must– To be learn more, review the information on how to provide a suitable photo for your wallet
read,card on ourdated,
checked, web www.aws.org/certification/page/photo-id-requirements
and signed by
the Sec. 11: Terms and Conditions - This section of the application must be read, checked, dated, and signed by the
applicant
applicant
taking
taking
the exam.
the exam.

Terms

1. Method of Payment - Payment must accompany this application AWS USE ONLY

Check if billing address is different from mailing, provide below.

__________________________________________________________________
Acct #: ___________________________________
All checks and money orders made payable to AWS

Check or money order #_______________________

VISA MC AMEX Discover Date: ____________________________________

CC#:________________________________________________________ Exp: ___________________

Amt$: ______________________________CWI
SIGNATURE:___________________________________________________________ CVV: ___________________

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 1 of 6 October 23, 2019
 Name AWS Member #
RENEWAL APPLICATION
CWI/SCWI 3rd and 6th Year

Application must be completed and signed by the person taking the exam

2. Personal Information Name must match your current government issued ID or Passport
Last Name First Name Middle Initial

Street Address City, State, Zip Code

Home Telephone Work Telephone Mobile Telephone

Email Date of Birth MM/DD/YY Last Four Digits of SS#

3. Check and complete the following:

Are you an AWS Member? Yes No If yes, please provide your Member #: ________________________ Company Membership not applicable.

CWI SCWI Certification number: __________________________ Exp. Date: _______________________

4. Renewal (choose one)

CWI and SCWI renewal by work experience complete sections 4, 6, 7, 9, 10, 11.
The WI requesting renewal of certification shall attest to having no period of continuous inactivity greater than two years during the previous
three years of certification.
CWI and SCWI renewal by examination Complete sections 1-6, 8, 9, 10, 11.
WI not meeting the work experience requirements for renewal may renew by taking the CWI part B Practical exam and meet the scoring
requirements of 6.2.2 of QC1.

5. Exam site code 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. Exam Schedule

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 2 of 6 October 23, 2019
Name AWS Member #

6. 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
Ferrous metals
B Chemicals & allied products 02 Manager, director, superintendent (or assistant)
03 Sales Aluminum
C Petroleum & coal industries Non-ferrous except aluminum
04 Purchasing
D Primary metal industries Advanced materials/intermetallics
05 Engineer — welding Ceramics
E Fabricated metal products
06 Engineer — other High energy Processes
F Machinery except elect. (incl. gas welding) Arc Welding
07 Inspector, tester
G Electrical equip., supplies, electrodes Brazing & Soldering
08 Supervisor, foreman Resistance Welding
H Transportation equip. - air, aerospace
09 Welder, welding or cutting operator Thermal Spray
I Transportation equip. - automotive
Cutting
10 Architect, designer
J Transportation equip. - boats, ships NDT
11 Consultant Safety & Health
K Transportation equip. - railroad
12 Metallurgist Pipe & Tubing
L Utilities
13 Research & development Pressure Vessels & Tanks
M Welding distributors & retail trade Structures
14 Technician Roll Forming
N Misc. repair services (incl. welding shops)
15 Educator Sheet metal
O Educational Services
(univ., libraries, schools) 16 Student Stamping & punching
Bending & shearing
P Engineering & architectural services 17 Librarian
Aerospace
(incl. assns.)
18 Customer service Automotive
Q Misc. business services Machinery
19 Other
(incl. commercial labs)
Marine
20 Engineer - design
R Government (federal, state, local) Other
21 Engineer - manufacturing Automation
S Other
22 Quality Control Robotics
Computerization of Welding

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 3 of 6 October 23, 2019
 Name AWS Member #

7. Qualifying Work Experience: - Resumes not accepted - ALL FIELDS ARE MANDATORY
Refer to AWS QC1, Standard for AWS Certification of Welding Inspectors for further details
- The period of validity for AWS SCWI and CWI certification is three (3) years. The SCWI/CWI shall be responsible for maintaining a current address with
the AWS Certification Department. To be eligible for renewal, the CWI must:
o AWS will accept your applications up to 11 months prior to expiration. We highly recommend sending your renewal application 60
days prior to your expiration date to allow sufficient processing time.
o AWS may send a renewal notice, but if not received, it remains the responsibility of the SCWI/CWI to renew on time.
- The SCWI/CWI requesting renewal of certification shall attest to having no period of continuous inactivity greater than two years in activities described
in AWS B5.1 and QC1 during the previous three years of certification.
o SCWI/CWI not meeting the requirements of 15.4 from AWS QC1 may renew by taking the CWI part B Practical exam and meet the scoring
requirements of 6.2.2 of QC1.
- SCWI/CWI certification renewals are limited to two consecutive three-year periods.

Company Name Type of Business Company Phone Number

Company Street Address City, State, Postal Code

Supervisor’s Name Title of Immediate Supervisor

Supervisor’s Email Address Department

Applicant’s Job Title Employed From: To:

(Mo.) (Yr.) (Mo.) (Yr.)

Job Responsibilities- Detailed Description Required

(Reproduce this section for each additional employer)

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.
Will you be using a glucose meter during your exam? Yes No
9. Visual Acuity Form
A current Visual Acuity Form must be completed and submitted along with this application. To download a copy of the form, visit our
website.

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 of your photo
is always at the discretion of the AWS.

Photos copied or digitally scanned from

driver’s licenses or other official documents
are not acceptable.

Print your name and AWS membership

number on the reverse of the photograph.

Only use scotch tape on the back of the photo.

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 4 of 6 October 23, 2019
Name AWS Member #
11. Terms and Conditions- Please check, date, and sign below.

Certified Welding Inspector

QC1 Standard for the AWS Certification of Welding Inspectors

B5.1 Specification for the Qualification of Welding Inspectors

 I hereby attest 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 attest 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.
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.

Applicant’s Signature ______________________________________________________ Date _________________________

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 5 of 6 October 23, 2019
 Name AWS Member #

VISUAL ACUITY FORM

Member #: _______________ Email address: ___________________________ Date: ______________

Last Name: ___________________________First Name: _______________________ MI: ___________

Applicant
This 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 in jeopardy 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. 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) Only
OD OS
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
(Check ONLY one of the following for each eye) Only
OD OS
Customer IS NOT colorblind C
Customer IS colorblind. B
3. Examiner’s Contact Information (print clearly)
Customer Name: Date of eye exam:
Examiner Name: Phone Number:
Examiner Address:
City: State: Zip/Postal Code: Country:

4. Examiner professional status (check only one)

Ophthalmologist Optometrist Medical Doctor Registered Nurse
Certified Physician’s Assistant
Examiner Signature: State/Prov. License number:

Renewal Application for CWI/SCWI 3rd and 6th Year_2221 Page 6 of 6 October 23, 2019