Recertification Application for CWI 9th Year_1108 Page 1 of 7 October 22, 2020
Check sections for compliance. *Incomplete applications will not be processed.
Personal Information – Last, First, and Middle initial MUST be completed, including Certification number.
Sec. 1: Payment Information - Payment MUST accompany this application.
Sec. 2: Personal Information – Last, First, and Middle initial MUST be completed.
Sec. 3: Member Information and Certification number
Sec. 4: Recertification by Exam Option – if recertifying by exam and/or taking a Seminar, please check this option.
Sec. 5: Recertification by Non- Exam Option - if recertifying by non-exam, please check one option.
Sec. 6: Exam Location – Site Code (if Applicable), Exam Date, City/State, and Submission Deadline
Sec. 7: Proof of Identity – current color copy of government passport or national ID
Sec. 8: Associations – Type of Business, Job Classification and Technical Interests.
Sec. 9: American Disabilities Act (ADA): if applicable, candidate must print a copy of our ADA package and follow the
instructions. www.aws.org/ada-disability-accommodations
Sec. 10: Qualifying Work Experience - MUST be completed for each employer to meet minimum work experience
requirement. All fields are mandatory.
Sec. 11: Visual Acuity Form – 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. 12: Photo Requirement – To learn more, review the information on how to provide a suitable photo to avoid
processing delays by visiting our website www.aws.org/certification/page/photo-id-requirements
Sec. 13: Terms and Conditions - This section of the application must be read, checked, dated, and signed by the
applicant taking the exam.
Terms
Sec. 14: Continuing Education and/or Teaching Credit - Complete this section only if submitting 80 Personal Development
Hours.
For Exam Fees Certification Price List
Method of Payment - Payment must accompany this application
AWS USE ONLY
Check if billing address is different from mailing
__________________________________________________________________
__________________________________________________________________
Acct #: ___________________________________
All checks and money orders made payable to AWS
Check or money order #_______________________
VISA MC AMEX Discover
Date: ____________________________________
CC#: / / / Exp: /
SIGNATURE :____________________________________________________________ CVV: ___________________
Amt$:_______________________________CWI
8669 NW 36 St., #130 Miami, FL 33166-6672
(800) 443-9353 or (305) 443-9353, ext. 273
Applicants Information:
Last Name: _____________________________ First Name: _________________________ Middle: ______________
Certification #: __________________________
CWI 9
th
Year
Application
Checklist Form
For your convenience, please use our Certification Application Portal.
Effective November 15
th
,2019, applications will be charged an additional $125.00 if sent to AWS by email or paper.
LAST NAME ______________________________ FIRST NAME __________________________________________
Recertification Application for CWI 9th Year_1108 Page 2 of 7 October 22, 2020
2. Personal Information Name must match your current government issued ID or Passport
Last Name
First Name
Middle Initial
Certification #
Exp. Date
AWS Member #
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. Member Information: Check and complete
Are you an AWS Member? Yes No If yes, please provide your Member #: ________________________
What is your AWS CWI Certification number and Expiration: CWI #: ___________________________ Exp. Date: _______________________
4. Recertification Exam Options (choose, unless recertifying by a non-exam option).
CWI Part B- Practical Exam Only - Complete Sections 6 through 9 and 11 through 13.
Exam Only Seminar & Exam Part B Seminar & Exam
5. Recertification Non-Exam Options (choose one, unless recertifying by an exam option):
5a. 80 Professional Development Hours (PDHs) - Complete sections 7-14 and skip 9
5b. CRI Certification achieved prior to 9
th
year of CWI Certification (submit copy of certificate) - Complete sections 7 and 10 through 13
5c. Endorsement- Achieved prior 9
th
year of Certification (submit a copy of certificate) - Complete sections 7 and 10 through 13
5d. 9-year Recertification Course - Complete sections 6 through 7 and 10 through 13
6. Indicate exam location of your choice: Confirmation is emailed in 3-4 weeks from receipt of application. Exam Schedule
1
st
Site Code_________________ Date__________________ City/State __________________________ *Submission Deadline__________________________
2
nd
Site Code_________________ Date__________________ City/State___________________________ *Submission Deadline__________________________
3
rd
Site Code_________________ 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.
7. Proof of Identity
Please check that you’ve attached a color copy of your current Government issued ID to this application, such as a driver’s license or
passport. This is required if testing for an endorsement exam through Prometric.
Company Membership not applicable.
Body of Knowledge
LAST NAME ______________________________ FIRST NAME __________________________________________
Recertification Application for CWI 9th Year_1108 Page 3 of 7 October 22, 2020
8. Associations
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
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
Name: AWS Member #
Recertification Application for CWI 9th Year_1108 Page 4 of 7 August 14, 2019
9. 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
10. Qualifying Work Experience – Resumes not accepted.
_______ I attest to having no period of continuous inactivity greater than two years during the previous three years of certification. I understand that work
(Initial)
experience documented on this application will be verified with both past and present employers.
DUPLICATE THIS SECTION FOR EACH ADDITIONAL EMPLOYER
11. Visual Acuity Form
A current Visual Acuity Form must be completed and submitted along with this application. To download a copy of the form,
please visit our website.
12. 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.
DO NOT STAPLE OR PAPER CLIP PHOTO
Company Name
Type of Business
Company Phone Number
Company Street Address City, State, Zip Code
Supervisor’s Name
Title of Immediate Supervisor
Supervisor’s Email Address
Department
Applicant’s Job Title
Employed From:
(Mo.) (Yr.)
To:
(Mo.) (Yr.)
Job Responsibilities- Detailed Description Required
Only use scotch tape on
the back of the photo
Photos copied or digitally scanned from
driver’s licenses or other official
documents are not acceptable.
Name: AWS Member #
Recertification Application for CWI 9th Year_1108 Page 5 of 7 August 14, 2019
Requirements:
Refer to AWS QC1, Standard for AWS Certification of Welding Inspectors for further details.
o Before the end of the ninth year from the date of initial certification, and each nine years thereafter, CWIs seeking recertification shall
satisfy either 16.3.1 or 16.3.2.
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.
o The CWI shall attest to having no period of continuous inactivity greater than two years in activities as described in AWS B5.1,
Specification for the Qualification of Welding Inspectors, during the previous three years of certification, and shall present evidence
of activities meeting the requirements of 16.4 or 16.5 of this specification.
o CWI recertification by taking the Part B Practical examination or by taking a Committee-approved endorsement, and meeting the
requirements of 6.2.2 of this specification. The endorsement will not need to be current at the time of application for recertification.
o A minimum of eighty (80) PDHs must be earned (training received or instruction delivered) during the nine-year certification period
and twenty (20) of those 80 PDHs must be earned in the final three-year period
13. 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 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. 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 Exam Security Agreement and General Terms of Use (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 _________________________
Name: AWS Member #
Recertification Application for CWI 9th Year_1108 Page 6 of 7 August 14, 2019
14. Continuing Education and/or Teaching Credit
Complete this section only if submitting 80 Personal Development Hours, include certificate of completion and course
description and/or syllabus. Duplicate this page as necessary. For details regarding documentation of PDHs please refer to QC1
section 16.5. www.aws.org/library/doclib/QC1-2007.pdf#page=19#
Example:
PDH
Institution or provider name and contact information:
Sample Institution
1234 Street
Anywhere, US 54321
Phone: 999-555-1212
Title of course or seminar:
Welding Technology 101
40
DATE OF COMPLETION:
January 2, 2099
PDH
Institution or provider name and contact information:
Title of course or seminar:
DATE OF COMPLETION:
PDH
Institution or provider name and contact information:
Title of course or seminar:
DATE OF COMPLETION:
PDH
Institution or provider name and contact information:
Title of course or seminar:
DATE OF COMPLETION:
PDH
Institution or provider name and contact information:
Title of course or seminar:
DATE OF COMPLETION:
Name: AWS Member #
Recertification Application for CWI 9th Year_1108 Page 7 of 7 August 14, 2019
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)
(Check ONLY one of the following for each eye)
AWS Use
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?
(Check ONLY one of the following for each eye)
AWS Use
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:
