When finished, you can mail, fax (860-594-0339) or email (vetests@arrl.org) this completed form to the ARRL VEC. AMERICAN RADIO RELAY LEAGUE / VEC EXAM SESSION REGISTRATION/REQUEST FOR TEST MATERIALS SEND TO ARRL VEC AT YOUR EARLIEST CONVENIENCE IN ADVANCE OF THE SESSION FOR WHICH THIS FORM IS USED. Please complete all information. 1. TEST DATE: ______________________________ TIME (local):________ 2. WILL WALK-IN CANDIDATES BE ACCEPTED? YES NO 3. WILL ADDITIONAL SITTINGS BE HELD AT THIS SESSION? YES NO 4. ADDITIONAL EXAM SESSION DATES AND TIMES. List additional times and dates below if the session will extend over a period of two or more adjacent dates, such as a weekend-long series of sessions at a convention. You may also list up to a years worth of exam dates here. ___________________________________________________________________ ___________________________________________________________________ 5. SESSION SPONSOR: ______________________________________________ (name of club, hamfest, group of VEs, or "unsponsored") 6. ADDRESS OF TEST SITE: Be sure to include building name and room number(s) sufficient to give candidates directions to the site. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ city ______________________ ____________ ____________________________ state ZIP country 7. VE TEAM CONTACT PERSON: This person will receive inquiries from candidates and does not have to be an accredited VE. NAME: ______________________________ CALL SIGN (if any): __________ PHONE:(__________) ________________________________________________ Candidates will call this number for test session information. EMAIL ADDRESS (optional): _________________________________________ Contact person's or teams's email address. VE teams may need an additional way for candidates to contact them. ADDRESS: __________________________________________________________ ___________________________________________________________________ city ______________________ ____________ ____________________________ state ZIP country 8. VE TEAM LIAISON: Same as Contact Person? YES NO The VE Team Liaison must be an Accredited Extra class VE if Elements 2, 3 and/or 4 are to be administered at the session. Advanced class VEs are limited to Elements 2 and/or 3. General-class VEs are limited to Element 2 only. NAME: _____________________________________________________________ CALL SIGN: ___________________________________________ PHONE: (_________) ___________________________________ EMAIL ADDRESS: ____________________________________________________ ADDRESS: __________________________________________________________ ___________________________________________________________________ city ______________________ ____________ ____________________________ state ZIP country 9. HAS THE VE TEAM BEEN BULK STOCKED WITH MATERIALS? YES NO Team has exam software 10. WILL THE VE TEAM BE USING THE ARRL/VEC EXAM SOFTWARE? YES NO Download ARRL/VEC Examination Software at http://www.arrl.org/ve-exam-maker-software 11. LIST BY ELEMENT THE MATERIALS THAT WILL BE NEEDED FOR THIS SESSION: Tech General Extra 2 3* 4** _______ _______ _______ ** This element can be administered only by Extra class VEs. * This element can be administered only by Advanced or Extra class VEs. Would you like to receive a second version of the elements you have requested? YES NO If YES, please indicate for each element how many you will need: example 10/5 (10 of one version and 5 of another.) Would you like to receive hole-punched transparent overlay-grading templates? YES NO 12. WHAT EXPRESS SERVICE ENVELOPES WILL YOU NEED TO RETURN THE COMPLETED SESSION? (choose one) (We will provide you with the postage-paid air-bills {address labels} and envelopes for that service.) US Postal Service First Class Mail ____________ Federal Express - Express Saver ____________ Other ____________ Previously stocked ____________ 13. LIST QUANTITIES OF ANY ADDITIONAL SUPPLIES YOU NEED Session Registration/Material Request Forms ____________ Test Session Reports ____________ Written Element Answer Sheets ____________ NCVEC FORM 605s ____________ Candidate Rosters ____________ C.S.C.E.s ____________ Other: _____________________________________________________ 14. LIST YOUR PROPOSED VE TEAM: Provide the name, call sign and license class of each person who will probably serve at this test session. This is not a final commitment to serve, but it will help the ARRL/VEC ensure that your VE Team's accreditations are in good order. Please keep in mind if the VE Team will be administering Elements 2, 3 and/or 4 that the VEs who will sign the applications and/or CSCEs must be Extra class VEs. You may register for a session even if you do not yet have all the examiners' accreditations completed. The FCC requires, however, that each person signing 605 applications or CSCEs must be duly accredited by the ARRL/VEC at the time the session is coordinated. Name: __________________ Call: ______ Class: Extra Advanced General Name: __________________ Call: ______ Class: Extra Advanced General Name: __________________ Call: ______ Class: Extra Advanced General Name: __________________ Call: ______ Class: Extra Advanced General Name: __________________ Call: ______ Class: Extra Advanced General ARRL VEC 01/10