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Application for Recertification

A separate Application for Recertification and non-refundable Test Fee of $50 (includes both application and test fee) must be submitted for each category for which recertification is being requested. Since the above fee is non-refundable, please be sure that you have read and understand the certification policies before submitting this form. f

If you have previously held CoSEIA Certification but let it lapse by not keeping up with the continuing education requirements, do not use this form to recertify. You must use the initial Application for Certification form.

If you are applying for an initial certification, please use the Application for Certification form.

Remember, you must possess up-to-date CPR and First Aid cards issued by the American Heart Association or American Red Cross in order to sit for either the certification or recertification exam.


You may complete an Application for Recertification form below online or submit a form and payment via snail mail.  Printer friendly versions of the application form are available here in WORD or PDF format.

Category in which you are applying for recertification:
Photovoltaics      
Solar Hot Water

Date of Application:

1. Personal Information

Name:

Mailing Address:

City:

State:

Zip:

County:

Primary Phone Number:

Fax Number:

Alternate Phone Number:

E-mail Address:


2. Verification of Employment and Experience

List employment in chronological order, starting with most current employment and include a job description summarizing responsibilities and number of and type of systems installed. A supervisor will need to sign off on your current employment; if you are self employed, please sign off for yourself. Copy this page as necessary.

Employer Business Name:

Address, City, State, Zip Code:

Dates Employed (mm/dd/yyyy) From: To:
Estimated # installs in which you participated:

Your Supervisor: Telephone Number:

Provide a description of your duties and supervisory responsibilities. If your position changed during this employment, list dates for each position, beginning with your current or most recent position. Describe your duties, including the type and number of systems installed and your role in the installation

 
 
 
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