NASCLA National Registry  Sunday, March 26, 2017  
Candidate Application Form

Before a candidate can take the NASCLA Accredited Examination for Commercial General Building Contractors, the applicant must be approved by the National Association of State Contractors Licensing Agencies (NASCLA). NASCLA will review this application to determine approval status. Once the candidate is approved, NASCLA will forward the below information to the testing provider, PSI. The candidate will receive an email confirmation from PSI with a link to pay and schedule the examination. If the application has been denied, the candidate will be notified via email by NASCLA.
Reapply Lookup:
Legal First Name:   Legal Middle Name: Legal Last Name:   Suffix:
Current Residential Address:   Address 2:
City:   State:   Zip:  
Home/Cell Phone #:   Date of Birth:  
Last 4 of SSN:  
State Driver's License #:   State Official ID #:   State:
Email Address (for scheduling confirmation):  
Is this the first time applying for the NASCLA Accredited Examination for Commercial General Building Contractors?
If no, please provide the date of the last administration and location Location
All candidates MUST read and approve the following NASCLA Examination Security Agreement:
As a participant taking this exam, you will have access to confidential examination material. By signing this form, you are agreeing to assume personal responsibility for keeping this material secure. You are also agreeing to avoid future activities that would compromise the security of the examination. The specific examination security standards with which you are required to comply are that you:
• Have watched the NASCLA Examination Security Video in its entirety. (Video located at: www.nascla.org)
• Must keep all examination materials secure while such are in your possession.
• Must return all examination material to the testing proctor designated as responsible for examination material.
• Must not discuss examination topics, including but not limited to the questions posed and/or the answers to such questions, with others.
• Must avoid any direct or indirect involvement in any examination-oriented review program (e.g. preparation courses, etc.) for prospective examinees of the NASCLA Accredited Examination for a period of at least two (2) years from the date written on this form. Prohibited activities include, but are not limited to, providing to anyone a description of explanation of one (1) or more question(s) that appeared on the exam, preparing or providing any type of review materials, making or assisting with presentations (either written of verbal) or participating or attending any seminars, meetings, lectures or similar gatherings that are examination-oriented.
• Understand that violating the foregoing security standards can result in civil or criminal penalties, invalidation of your test score, and may result in a report to the appropriate licensing agency of such violations.
Approval: I hereby certify that I have read and understand the rules listed above that are associated with the NASCLA Accredited Examination. Further, I certify that I am not affiliated with a school as an official, instructor, or designee taking the examination for any purpose other than to obtain a license.
Do you hold a state contractor license in any state? If so, please list the state(s) and license number(s):
If you will be applying with a State Agency, please provide the state you will be applying in:
Affidavit: I certify that the information provided on this examination application form is correct. I understand that any falsification of information may result in denial of taking the examination. I have read and understand the testing provider’s examination information bulletin.


Print Signature:  


Please sign on the line below using your mouse:
A $25.00 fee is charged for processing an application.
Credit Card Type:
Credit Card Number:
Expiration Date:
Card Verification Number:   On the back of your card, locate the final 3 digit number or for American Express on the front of your card, locate the 4 digit number.
  Please wait after clicking submit to prevent multiple charges on your card.
   
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