IDAHO CONCRETE & AGGREGATE PRODUCERS ASSOCIATION P.O. Box 6213, Boise, ID 83707 TO: ACI CERTIFICATION APPLICANT FROM: IDAHO CONCRETE AND AGGREGATE PRODUCERS ASSOCIATION (ICAPA) RE: REGISTRATION FOR THE AMERICAN CONCRETE INSTITUTE EXAMINATION CERTIFICATION FOR CONCRETE FIELD TESTING TECHNICIAN – GRADE 1 ICAPA is offering the ACI Examination Certification for Concrete Field Technician – Grade 1: EXAM DATE: TIME: PLACE: Friday, October 31, 2014 8:00 a.m. Idaho Department of Transportation, Operation Annex 3293 West Jordan, Boise, Idaho The one-day program includes a minimal review and administration of the written and performance exams. The review will include:  explanation of the testing process  review of the roll-o-meter (ASTM C-173) test procedure  question and answer session A complete review of the test procedures will not be provided. The agenda for the day will be:  8:00 a.m. – check in and review exam administration and protocol  8:30 a.m. – minor review of field testing procedures – question and answer session  10:00 a.m. – written exam will be administered  11:00 a.m. – performance exam will be administered  lunch will be provided at the testing facility **Applicants are required to bring #2 pencils, proof of identification, and a non-programmable calculator. Programmable calculators or cell phones will not be allowed in the written exam. Registration is limited to the first 25 applicants. It is very important to register as soon as possible so you have adequate time to receive and review study materials prior to the examination. The exam is based on information contained in 2014 publication of ACI CP-01(14). All RECERTIFICATIONS require successful completion of both the written and performance portions of the exam. Please fill out the attached registration form and mail with your check made payable to ICAPA to the indicated address by Thursday, October 9, 2014. Your test will not be administered without payment. To HOLD/RESERVE your place in the class and receive the workbook early, e-mail registration forms to [email protected]. Registration forms MUST be received by October 9, 2014. To GUARANTEE your place in class, payment MUST be received three days before testing date. For further information please contact Larry Hanover at 208-991-6691, Greg Mugavero (208) 376-8200, Clint Hoops at (208) 334-4415 or Teresa Axtell, ICAPA Secretary at (208) 249-5857. IDAHO CONCRETE & AGGREGATE PRODUCERS ASSOCIATION P.O. Box 6213, Boise, ID 83707 AMERICAN CONCRETE INSTITUTE EXAMINATION CERTIFICATION FOR CONCRETE FIELD TESTING TECHNICIAN – GRADE 1 SPONSORS: IDAHO CONCRETE AND AGGREGATE PRODUCERS ASSOCIATION (ICAPA) WHEN: Friday, October 31, 2014 (8:00 AM) WHERE: Idaho Department of Transportation, Operation Annex 3293 West Jordan, Boise, Idaho FEE: ICAPA Members Non-Members Registered Full Time Student $275.00 per examinee $185 for Retesting $350.00 per examinee $210 for Retesting $185.00 per examinee (with Student ID) RECERTIFICATION (renewing current certification) requires full payment and successful completion of written & performance exams. (FEE INCLUDES ACI TECHNICIAN WORKBOOK CP-01 (14) PAYMENT ENCLOSED: Testing Fee $ ____________ Retesting Fee $ ____________ TOTAL AMOUNT DUE $ ____________ REIMBURSEMENT OF TESTING FEE will only be considered if notice of cancellation is given at least three days before testing takes place.    If workbook is not returned to ICAPA, 50% of registration fee is non-refundable If workbook is returned in perfect condition prior to test, fee will be refunded less $50 No fee reimbursement will be given if test has already taken place; fee can be transferred to another testing if used within one year. REGISTRATION CONCRETE FIELD TESTING TECHNICIAN – GRADE I NAME ______________________________________________________________________________ MAILING ADDRESS_____________________________________________________________________ CITY ________________________ STATE _______________ ZIP CODE + 4 _____________________ PHONE ___________________________ CURRENT ACI CERTIFICATION NUMBER_________________ ORGANIZATION OR FIRM ________________________________________________________________ CREDIT CARD NUMBER / EXPIRATION DATE / CVS CODE __SEE SECURE FORM AT WWW. ICAPAIDAHO.ORG__ ICAPA MEMBER: YES NO E-MAIL ____________________________________ RETURN REGISTRATION WITH CHECK MADE PAYABLE TO ICAPA BY OCTOBER 9TH, 2014 TO: ICAPA [email protected] PO BOX 6213 BOISE, IDAHO 83707 E-Mail form to *If Retesting circle the exam needed: Written Performance