Welding Inspector Only Examapplication 4/25/2011

1

LAST NAME FIRST NAME MI



I am applying for: CAWI Only CWI Only
1. PLEASE INDICATE THE EXAM LOCATION OF YOUR CHOICE:
PLEASE ALLOW 3-4 WEEKS PROCESS TIME. CONFIRMATION LETTERS WILL BE EMAILED UNLESS EMAIL ADDRESS IS NOT INDICATED IN SECTION 6.
1
st
Site Code: ________________ Exam Date: _________________ City/State: ___________________________ *Submission Deadline: __________________

2
nd
Site Code: ________________ Exam Date: _________________ City/State: ___________________________ *Submission Deadline: __________________

3
rd
Site Code: ________________ Exam Date: _________________ City/State: ___________________________ *Submission Deadline: __________________

NOTE: AWS strongly recommends the applicant selects a second and third site location alternative. If the first choice is not available, the next available
location will be selected. Please do not

make any hotel or flight arrangements until you have received your exam confirmation letter from the Certification
Department.










CERTIFIED WELDING INSPECTOR
EXAM APPLICATION
4. PLEASE INDICATE THE FOLLOWING
AWS SEMINAR OF YOUR CHOICE OR CHOOSE
EXAMINATION ONLY BELOW:
D1.1 SEMINAR WEEK PAK *ADDITIONAL $140 FOR CWI/CWE COMBO
(codebook included)
1. D1.1 Code Clinic
(Sun, 1 PM 5 PM & Mon, 8 AM - 12 Noon)
2. Welding Inspection Technology Workshop
(Tues Thurs, 8 AM 5 PM)
3. Visual Inspection Workshop (Fri, 8 AM 5 PM)
4. Certification Exam (Sat, 8 AM 5 PM)
Member Price: $2080 Non-Member Price: $2295
API 1104 SEMINAR WEEK PAK *ADDITIONAL $140 FOR CWI/CWE COMBO
(codebook not
1. API 1104 Code Clinic
(Mon. 1 PM 5 PM)
included)
2. Welding Inspection Technology Workshop
(Tues Thurs, 8 AM 5 PM)
3. Visual Inspection Workshop (Fri, 8 AM 5 PM)
4. Certification Exam (Sat, 8 AM 5 PM)
Member Price: $1855 Non-Member Price: $2070
FOR INDIVIDUAL CODE CLINICS/WORKSHOPS:

D1.1 Code Clinic (code book not supplied): Member $375/Non- Member $590
API-1104 Code Clinic (code book not supplied): Member $335/Non-Member$550
Welding Inspection Technology Workshop: Member $440/Non-Member$655
Visual Inspection Workshop: Member $515/Non-Member $730
EXAMINATION ONLY *ADDITIONAL $60 FOR CWI/CWE COMBO
Member Price: $825 Non-Member Price: $1040
2. PLEASE CHECK AND COMPLETE THE FOLLOWING:
Your AWS Member # (if applicable):_______________________________
Check here if taking a non AWS seminar prior to the exam.
Name of Agency:________________________________________________________
City, State:_______________________________________Date:_____________________
Are you employed by an AWS SENSE program participating
organization (must provide copy of certificate)? NO YES
If yes, the Facility ID #:_______________________________
S.E.N.S.E. CWI and CWE Combo Examination Only
Member Price: $470 Non-Member Price: $685


3. PLEASE SELECT ONE OF THE FOLLOWING FOR
YOUR CODE APPLICATION TEST SUBJECT:
AWS D1.1 Structural Steel Code: 2010 edition only
API-1104 Pipelines 20
th
edition with 2007 errata/addenda
* Applicant must
AWS D1.2 Structural Aluminum Code:2003 or 2008 edition
provide own codebook for the exam.
*Code Clinic not available. Applicant must
AWS D1.5 Bridge Welding Code: 2008 edition
provide own codebook for the exam.
*Code Clinic not available. Applicant must
AWS D15.1 Railroad: 2007 edition
provide own codebook for the exam.
*Code Clinic not available. Applicant must
ASME Sections VIII (Div 1) & IX, (both 2007 editions with 2008 addenda)
provide own codebook for the exam.
*Code Clinic not available. Applicant must
ASME Section IX, B31.1 (both 2007 editions), and B31.3 (2006 edition)
provide own codebook for the exam.
*Code Clinic not available. Applicant must
5. METHOD OF PAYMENT- ALL CHECKS AND MONEY ORDERS SHOULD BE MADE PAYABLE TO AWS.
provide own codebook for the exam.
AWS USE ONLY
Acct #: ____________________________
PAYMENT MUST ACCOMPANY YOUR APPLICATION

Check or money order #_______________________
VISA MC AMEX Diners Discover
Date: _____________________________
CC#:__________/___________/___________/__________Exp:_____/_______

SIGNATURE___________________________________________ Amt $: ____________________________
550 NW LeJeune Rd Miami, Fl 33126
(800) 443-9353 or (305) 443-9353, ext. 273
FAXED OR EMAILED APPLICATIONS ARE NOT ACCEPTED


LAST NAME: FIRST NAME:
Welding Inspector Only Exam application 4/25/2011
2
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 MM/DD/YY U.S. SOCIAL SECURITY NUMBER
x x x x x
E-MAIL ADDRESS (CONFIRMATION NOTIFICATION WILL BE SENT TO THIS ADDRESS)

7. Associations

Type of Business
(Check ONE only)
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 Engr. & architectural services (incl. assns.)
Q Misc. business services (incl. commercial labs)
R Governments (federal, state, local)
S Other_________________________________
T Structural Steel Fab
U Misc Steel Fab
V Misc MatrlFab
W Elct & Eltr Mac
X Meas & Anly Inst

Job Classification
(Check ONE only)
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

Your Technical Interests
Place a number on line in choice order
(1-2-3, etc.)
1 _____Robotics
2 _____Computerization of Welding
A _____Ferrous metals
B _____Aluminum
C _____Non-ferrous except aluminum
D _____Advanced materials/intermetallics
E _____Ceramics
F _____High energy Processes
G _____Arc Welding
H _____Brazing & Soldering
I _____Resistance Welding
J _____Thermal Spray
K _____Cutting
L _____NDT
M _____Safety & Health
N _____Pipe & Tubing
O _____Pressure Vessels & Tanks
P _____Structures
Q _____Roll Forming
R _____Sheet metal
S _____Stamping & punching
T _____Bending & shearing
U _____Aerospace
V _____Automotive
W _____Machinery
X _____Marine
Y _____Other
Z _____Automation


















LAST NAME: FIRST NAME:
Welding Inspector Only Exam application 4/25/2011
3

8. EDUCATION LEVEL

Note to CWE applicants: Applicants applying for the CWE examination must be a high school graduate or achieved a GED certificate along with the five years of
work experience. You shall also complete the CWE Welding Instructor Credentials Form or submit a written verification letter signed by your teaching
supervisor/personnel manager. In addition, a copy of a valid Certified Welder ID/Certification card or test record of passing a valid Certified Welder test for the
welding process to be taught. For further information regarding the CWE program, please refer to the QC5-91.

9. ADDITIONAL EDUCATION AND EXPERIENCE: A maximum of two (2) years of post high school education may be substituted for an equal
number of years of work experience according to 5.5 of AWS B5.1
VoTech credits - MUST Circle no. of years attended attach
transcripts of welding related
courses or diploma

0 1 2 3 4
Maximum one (1) year work substitution credit only if courses
completed and within a curriculum related to welding.
College credits - MUST Circle no. of years attended attach
transcripts of engineering-level
courses or diploma

0 1 2 3 4
Maximum two (2) years work substitution credit only if the degree
is in engineering technology, engineering, or physical science
10. QUALIFYING WORK EXPERIENCE: RESUMES NOT ACCEPTED. THIS SECTION MUST
** NOTE: PLEASE DUPLICATE THIS SECTION FOR EACH ADDITIONAL EMPLOYER IN ORDER TO MEET THE QUALIFYING WORK EXPERIENCE REQUIREMENTS FOR
CWI/CAWI/CWE ELIGIBILITY.
BE COMPLETED.
_______ I understand that all work experience documented on this application may be verified with both past and present employers.
(Initials)












PLEASE CHECK THE APPROPRIATE BOX BELOW :
High school graduate or achieved GED certificate.
CWI and CWE applicants must document five (5) years and CAWI applicants must document two (2) years of work experience in the
Qualifying Work Experience Section below. (Please refer to the AWS B5.1)
Did not graduate high school, but completed the 8
th
grade.
CWI applicants must document nine (9) years and CAWI applicants must document four (4) years of work experience in the Qualifying
Work Experience Section below. (Please refer to the AWS B5.1)
Did not complete the 8
th
grade.
CWI applicants must document twelve (12) years and CAWI applicants must document six (6) years of work experience in the Qualifying
Work Experience Section below. (Please refer to the AWS B5.1)
Company Name Type of Business Company Phone Number
Company Street Address City, State, Zip 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*

LAST NAME: FIRST NAME:
Welding Inspector Only Exam application 4/25/2011
4


11. EMPLOYMENT VERIFICATION

** NOTE: THIS SECTION MUST
IF THE EMPLOYER IS NO LONGER IN BUSINESS, PLEASE INCLUDE A COPY OF THE W2 FORM.
TO BE COMPLETED BY A SUPERVISOR OR PERSONNEL MANAGER FROM THE MOST RECENT EMPLOYER. IF SELF-EMPLOYED OR 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.

Employees Last Name: _________________________________ First Name: ____________________________ MI: ______
Employer Name: _____________________________________________________Phone: ( ) _____________________
Employer Address: ______________________________________________________________________________________
City: ___________________________________ ST/Prov.: _____________ Zip: _____________ Country: _______________
Supervisor / Personnel Manager: __________________________________________ Dept/Div: _______________________
Supervisor / Personnel Managers Email: ___________________________________________________________________

I verify that is or was an employee at this company and conducts the duties during the
employment periods stated in this application.

Name: _________________________________________________ Title: _________________________________
Signature: ________________________________________________ Date: ____________________________________

12. TESTIMONIAL: (this section MUST

be completed or application will be rejected)
(Applicants must read and sign the following statement in front of a notary)

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 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. Test results will not be released until all obligations are fulfilled..

Applicants Signature ___________________________________________________ Date: _______________________________
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.
Sworn to and subscribed before me this _______ day of______________________ of year____.
THE FOLLOWING IS TO BE COMPLETED BY A NOTARY PUBLIC
My commission expires ___________________ Notary Public Signature ________________________________ (seal and/or stamp is REQUIRED)
Visual Acuity Record 10/5/2010

VISUAL ACUITY RECORD

LAST NAME : _______________________________________________ Certification # (if applicable) : ______________________
FIRST NAME : _______________________________________________ MEMBER # (if applicable) : ______________________
If scheduled to take an AWS certification exam, site location: ________________________________Date___________________
TO APPLICANTS:
This form must be submitted for all Welding Inspector and Radiographic Interpreter applications. Applicants for the Certified
Welding Educator only are not required to complete this form.

Before submitting this form with your application to AWS, be sure to keep a copy for your records. If youre unable to supply a
completed Visual Acuity Record with your application prior to submission deadline, you may forward this form to the
Certification Department separately. Exam applicants may submit completed Visual Acuity Records on exam day. AWS will
not release exam results and/or certification renewal without a completed Visual Acuity Record on file.

You must use the services of an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physicians Assistant to
administer your required eye examination. The examination must occur within the seven months prior to the scheduled date of the
applicants examination and/or certification expiration 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 form supplied by the AWS Certification Department. No other forms will be accepted.

AWS will not accept visual acuity test results that are incomplete or do not comply with regulations.
THE FOLLOWING THREE SECTIONS ARE TO BE COMPLETED BY THE EYE EXAMINER
1. Please verify the customers close vision acuity to Jaeger J2 specifications at a distance of 12 inches or
greater (30.5 cm): (please check one of the following)
AWS
use only
Both eyes require corrected vision to J2 W
Only one eye needs corrected vision to J2 W
No correction is required. O


2. Through a color perception examination, is the applicant colorblind? (please check one of the following)
AWS
use only
No, customer is not colorblind C
Yes, customer is colorblind. B
3. PLEASE PRINT CLEARLY
CUSTOMER NAME: _____________________________________________ DATE OF EYE EXAMINATION: ______________________
EXAMINER NAME: ______________________________________________TELEPHONE NUMBER: ___________________
EXAMINER ADDRESS: _________________________________________________________________________________________
CITY: ____________________________________ ST/PROVINCE: _____________ ZIP: _____________COUNTRY: _____________
EXAMINER PROFESSIONAL STATUS BY (please check only one):
Ophthalmologist Optometrist Medical Doctor Registered Nurse Certified Physicians Assistant

EXAMINER SIGNATURE: _____________________________________ STATE/PROV. LICENSE NUMBER: ______________________
550 NW LeJeune Rd Miami, Fl 33126
(800) 443-9353 or (305) 443-9353, ext. 273

CWI Body of Knowledge -5/19/2011

BODY OF KNOWLEDGE
AWS Certified Welding Inspector
The following is an approximate breakdown of the examination categories and the number of questions drawn from each subject area.

PART A: FUNDAMENTALS PART B: PRACTICAL
Subject Percentage Subject Percentage
Welding Processes 10% Procedure and Welder Qualifications 30%
Heat Control & Metallurgy (carbon and low-alloy steel) 6% Mechanical Test and Properties 10%
Weld Examination 9% Welding Inspection and Flaws 36%
Welding Performance 9% NDE 10%
Definitions and Terminology 12% Utilization of Specification and Drawings 10%
Symbols Welding and NDE 10%
Test Methods NDE 8%
Reports and Records 6%
PART C: CODE BOOK APPLICATIONS
Duties and Responsibilities 4% Subject Percentage
Safety 5% Materials and Design 10%
Destructive Tests 4% Fabrication 30%
Cutting 3% Inspection 25%
Brazing 2% Qualification 30%
Soldering 1%
CODE SUBJECTS AVAILABLE
AWS D1.1- Structural Steel Code: 2010 edition
AWS RECOMMENDED SELF-STUDY
Examination Preparatory Material




*AP1104- Pipelines 20
th
edition with 2007 errata/addenda
**AWS D1.2- Structural Aluminum Code: 2003 or 2008 edition
**ASME Section IX (2007 edition), B31.1 (2007 edition), & B31.3 (2006
edition)
AWS PUBLICATIONS ORDER NUMBER

**AWS D15.1 - Railroad: 2007 edition
Certification Manual for Welding Inspectors
CM: 2000
**ASME Sections VIII (Div 1) & IX, (both 2007 editions with 2008
addenda)
Welding Inspection Handbook
WI: 2000

**AWS D1.5- Bridge Welding Code: 2008 edition
* D1.1/D1.1M Structural Welding Code-Steel
D1.1/D1.1M: 2010
* Applicant must provide own codebook for the exam.
* D1.1 Code Clinic Reference Manual D1.1CCRM: 2008

** Code Clinic not available. Applicant must provide own codebook for
the exam.
* API 1104 Study Guide for API Standard 1104
Welding of Pipelines
API-M: 2008
* Welding Inspection Technology WIT-T-2008
* Welding Inspection Technology (Workbook) WIT-W: 2008
*Welding Inspection Technology Sample CWI
Fundamentals Examination & Key
WIT-E: 2008
* Standard Welding Terms and Definitions A3.OM/A3.0:2010
* Standard Symbols for Welding, Brazing, and
Nondestructive Examination
A2.4: 2007
* Visual Inspection Workshop Reference
Manual
VIW-M: 2008
*Guide for the Nondestructive Examination of
Welds
B1.10M/B1.10:2009
Book of Specification for the Qualification of
Welding Inspectors (errata 2007)
B5.1: 2003
Books are provided to participants at the AWS Seminars


TO PURCHASE ANY OF THE AWS PUBLICATIONS OR THE API1104 CODEBOOK:
Contact WEX at 888-WELDING or 305-824-1177
Or visit the website at www.awspubs.com
OTHER RECOMMENDATIONS ORDER NUMBER
AWS Welding Handbook Series WHB-ALL
Guide for the Visual Examination of Welds B1.11: 2000
Safety in Welding, Cutting and Allied
Processes
ANSI Z49.1: 2005
AWS Policies and Fees-12/8/2011
American Welding Society 550 N.W. Le Jeune Rd., Miami, Florida 33126
(305)443-9353 (800)443-9353 ext 273 Fax (305)443-6445
Email: [email protected] Website: http://www.aws.org

AWS Policies and Fees

IMPORTANT NOTICE!!
No Show Penalty
IF A CANDIDATE FAILS TO CANCEL, RESCHEDULE OR SHOW UP TO THE SEMINAR/EXAM OR EXAM ALL FEES ARE FORFEIT.
Seminar and/or Exam Cancellation
THE CERTIFICATION DEPARTMENT MUST RECEIVE A CHANGE OF SITE/CANCELLATION FORM VIA EMAIL OR FAX NO LATER THAN TWO WEEKS
PRIOR TO THE WEEK OF THE CONFIRMED SEMINAR/EXAM OR EXAM START DATE. A REFUND IS ISSUED MINUS THE CANCELLATION FEE. THE
FEES ARE AS FOLLOWS:
SEMINAR ONLY - $550
EXAM ONLY - $200
SEMINAR AND EXAM - $750
Seminar/Exam or Exam Rescheduling
THE CERTIFICATION DEPARTMENT MUST RECEIVE A CHANGE OF SITE/CANCELLATION FORM VIA EMAIL OR FAX. IF NOT RECEIVED, THE
NO SHOW PENALTY WILL APPLY. ONLY THE 1
ST
TWO (2) RESCHEDULING REQUESTS RECEIVED ARE PROCESSED WITHOUT CHARGE. ANY
ADDITIONAL RESCHEDULING REQUESTS RECEIVED ARE CHARGED A RESCHEDULING FEE AND MUST BE PAID IN FULL PRIOR TO YOUR
RESCHEDULING REQUEST BEING PROCESSED. THE RESCHEDULING FEES ARE AS FOLLOWS:
SEMINAR ONLY - $350
EXAM ONLY - $200
SEMINAR AND EXAM - $550
Reschedule/Cancellation Requests
RESCHEDULE/CANCELLATION REQUESTS ARE NOT ACCEPTED THE WEEK OF THE CONFIRMED EVENT. FAILING TO SHOW UP ("NO SHOW")
FOR YOUR SCHEDULED SEMINAR/EXAM OR EXAM RESULTS IN FORFEIT OF ALL FEES.

Fast Track
THE APPLICATION SUBMISSION DEADLINE IS SIX (6) WEEKS PRIOR TO THE WEEK OF THE SCHEDULED SEMINAR/EXAM OR EXAM DATE.
PLEASE REFER TO THE SEMINAR/EXAM SCHEDULE TO CONFIRM THE SUBMISSION DEADLINE DATE. AN APPLICATION RECEIVED AFTER THE
SUBMISSION DEADLINE AND/OR FEES PAID IN FULL AFTER THE SUBMISSION DEADLINE DATE, BUT NO LATER THAN THREE WEEKS PRIOR TO
THE WEEK OF THE EVENT IS PROCESSED FOR THE REQUESTED TEST SITE IF SPACE IS AVAILABLE. $250 FAST TRACK FEE IS CHARGED FOR
THIS SERVICE. FULL PAYMENT FOR THE APPLICATION AND FAST TRACK FEE IS REQUIRED IN ORDER FOR TO BE PROCESSED AND COMPLETE
REGISTRATION. PLEASE DO NOT MAKE TRAVEL OR HOTEL ARRANGEMENTS PRIOR TO RECEIVING A CONFIRMATION LETTER FOR THE
SEMINAR/EXAM OR EXAM.

Processing Fee
THE PROCESSING FEE IS INCLUDED IN ALL CERTIFICATION PRICE LIST FEES. IF A CANDIDATE DOES NOT MEET THE QUALIFICATION REQUIREMENTS, A REFUND IS
ISSUED MINUS $75 PROCESSING FEE.


ALL FEES ARE NONTRANSFERABLE. FEES ARE SUBJECT TO CHANGE WITHOUT NOTICE. AWS RESERVES THE
RIGHT TO CANCEL ANY SEMINAR AND/OR EXAM IF THERE ARE AN INSUFFICIENT NUMBER OF PARTICIPANTS. IN
THE EVENT OF CANCELLATION BY AWS, ALL SEMINAR/EXAM FEES WILL BE REFUNDED IN FULL, OR THE
PARTICIPANT MAY TRANSFER TO THE NEXT AVAILABLE SEMINAR AND/EXAM OR EXAM. IN EITHER CASE, AWS
SHALL HAVE NO FURTHER LIABILITY.