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   HOME  »   TRAINING COURSES  »   FIELD WELDER CERTI. PROG.  »   FIELD WELDER TEST APPLICATION
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Field Welder Test Application

Please fill out and submit the form below. Any field with an asterisk * is mandatory and must be filled out prior to submitting form.

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email:
Telephone:
Cell Phone:
Company Name:
Company Telephone:
Classification Test Requested:
 
Complete Application, email, fax, or mail to:
NCDOT Weld Test, Materials and Tests Unit
770 B Centre Park Drive
Kernersville, NC 27284
Email: Field Welder Certification Program
 Fax: 336-993-8740
 

To be completed by NCDOT Weld Test Section

Contacted by, Date:
Contact Person:
Test Date, Time, Location:
Amount Due:
 

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