Exam you are requesting:

Use this application to request approval to offer a new specialist certification (Available individual has achieved CFOS/I or CPCT/I):

• Additional experience (check as many as apply):
• • Instructor
• • Installer/Contractor
• • Military Experience
• • Other:

• Trained in (check all that apply):
• • All Installation Practices
• • Termination
• • Splicing
• • Pulling Cable
• • Restoration
• • Testing
• • Network Design

I certify that the information I have provided on this application is complete and accurate to the best of my knowledge.

I understand that any certification granted by The FOA does not constitute licensure to practice or provide services when required by any relevant law. I understand The FOA certification does not in any way imply that The FOA assumes responsibility or liability for my actions, and I hereby indemnify The FOA from any liability resulting from my actions.

I understand that my FOA CFOS/I instructor certification is contingent upon my teaching at the FOA Approved school that sponsors my application and that if I leave that school for any reason and do not transfer to another FOA Approved school, my CFOS/I is no longer valid.

• • I have read the Certification Terms and Conditions and agree to abide by them.