Automotive Technician Certification Application Form
Complete this application to apply for automotive technician certification and provide your contact details, training, work experience, specialization areas, and supporting documents.
Applicant Information
Full Name
*
First Name
Last Name
Preferred Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State/Province
*
Country
*
Certification Application Details
Certification Track / Program
*
General Automotive
Diesel Systems
Electrical & Diagnostics
Brake & Suspension
Engine Performance
Other
Current Employment Status in Automotive Field
*
Employed Full-Time
Employed Part-Time
Self-Employed
Apprentice
Student
Not Currently Employed
Other
Years of Relevant Experience
*
Current Employer or Shop Name
Desired Certification Level
*
Level 1
Level 2
Level 3
Master Technician
Specialist Certification
Other
Education and Training Background
Highest level of education completed
*
High School Diploma
Associate Degree
Bachelor's Degree
Master's Degree
Trade School Certificate
Vocational Training
Other
Automotive training institution or program name
*
Training program completion status
*
Completed
In Progress
Expected to Complete
Not Completed
Graduation or completion date
 -
Month
 -
Day
Year
Date
Relevant coursework or training areas
Work Experience and Specializations
Current Job Title
*
Primary Areas of Hands-on Experience
*
Engine Repair
Diagnostics
Brakes
Transmission
Electrical Systems
HVAC
Suspension/Steering
Hybrid/EV Systems
Other
ASE or Other Certifications Held
Years in Each Specialization
Eligibility, Documents, and Declaration
Do you meet the exam eligibility requirements?
*
Yes
No
If no, please explain your eligibility status or missing requirements
Resume or curriculum vitae
*
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of
Training certificate
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Transcript or academic record
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Preferred exam location or testing method
Test center
Online proctored
On-site at employer
Other
Preferred exam date or availability window
 -
Month
 -
Day
Year
Date
Declaration: I confirm that the information provided is accurate and the submitted documents are authentic
*
I agree
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