Fort Washington Amateur Radio Club (FWARC) Volunteer Examiner Team
Candidate Examination Registration

Please complete this form to register for an examination(s).
Notes:
The Federal Communications Commission (FCC) requires the use of your FCC Registration Number (FRN) on the registration form.
Apply to the FCC for the FRN, if you do not already have your FRN.
The FCC requires that you provide an email address on your registration form through which they may contact you.

Select the examination date for which you are registering:   11 September 2024 13 November 2024 8 January 2025

First Name:

Middle Name or Initial:

Last Name:

Suffix (Jr., Sr., II):

Mailing Address (Number and Street or P.O. Box):

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming

Zip Code:

Daytime Telephone Number (Include Area Code):

E-mail Address:

FCC Registration Number (FRN) - 10 digits, be sure to include any leading or trailing zeros:

Station Call Sign (if any):

I would like to register to take the following examination(s). Note: you must select at least one examination.

Technician
General
Amateur Extra
(Please check all that apply)

Comments/Concerns:

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