Practical Exam Proctor Intent to Test Form

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Notification of an intent to test for all practical test administrations must be submitted using the online form below. Once submitted you will receive an auto notification indicating the request has been submitted. This is not permission to test. You will receive an additional email from NWSA approving or denying this request. If you do not receive an additional email from NWSA within 24 business hours, this indicates that your notification was not received and you should contact the office by phone at 703-459-9211.


Fields with an asterisk (*) must be completed in order for your request to be submitted and processed.

NWSA PE Site # *

Certification Program *

Practical Proctor 1 Name *

Practical Proctor Credential *

Your Email *

Will there be more than one Practical Examiner testing at this test administration? (*)

Practical Proctor 2 Name:
Practical Proctor 2 Credential:
Practical Proctor 3 Name:
Practical Proctor 3 Credential:
Practical Proctor 4 Name:
Practical Proctor 4 Credential:

Start Date of Exams *
Start time of first exam *
End Date of Exams *

Expected Number of Candidates *
Test Site Coordinator Name *
Test Site Coordinator Phone *
Test Site Coordinator Email *


Notifications must be submitted by 5pm (MST)

Monday Wednesday
Tuesday Thursday
Wednesday Friday
Thursday Monday
Friday Tuesday
Saturday / Sunday Wednesday