ACI Certification Application

Please complete the information below and click "Submit."
 Your application will be sent to the ACI Certification Office and you will receive an email acknowledging your submittal and offering an immediate and secure payment option via credit card through PayPal. Please allow several hours for the acknowledgement, since we verify there is class space for you prior to sending you the email.

Applicants Must Be Able to Lift 50 lbs.

Class and test time typically 8 AM to 4PM.
Dress appropriately for concrete testing (heavy shoes and long pants).

Payment and Notification

When your payment is received, your place in the class
will be reserved. Two weeks prior to the class, you will be emailed directions and instructions.   

IMPORTANT: Fees for “no shows” are forfeited and are NOT REFUNDABLE
without 5-day notice prior to the session date.


Use your mouse or the tab key to help fill out the form.

YOUR NAME
EMAIL ADDRESS
SESSION ID # AS SHOWN ON SCHEDULE
SESSION LOCATION
YOUR EMPLOYER
MAILING ADDRESS
CITY, STATE AND ZIP
DAY TELEPHONE
EVENING TELEPHONE
FAX NUMBER
1. Applicant and Class Information
2. Select Course and Indicate Total Fee
Contact the Certification Coordinator for availability
of other types of Certification offered.
3. If Paying by Credit Card

After verifying space in the class you sign up for, our Certification Coordinator Liese Hironaka will send an email to the address you provided with a link to a secure site through PayPal for online credit card payment.

 You may contact Liese directly at (800) 753-7711 with card information, but we prefer you use PayPal since it provides better security for your transaction.

4. Before You Submit Your Application Read the
Information Below the SUBMIT Button.
TWO-DAY FIELD TECH 1 COURSE -- $315.00
RECERTIFICATION FOR FIELD TECH 1 -- $315.00
RETEST -- $180.00
CONCRETE STRENGTH TESTING   EXAM ONLY -- $300.00
AGGREGATE TESTING TECH - LEVEL 1   EXAM ONLY -- $400.00
AGGREGATE TESTING TECH - LEVEL 2   EXAM ONLY -- $400.00
LAB TECH - LEVEL 2   EXAM ONLY -- $400.00
TOTAL FEE
 

 

 

 

Carefully review your information for accuracy.

 When you click SUBMIT your application will be sent and you will
receive an email acknowledgment from the Certification Coordinator with the option to pay by credit card using PayPal on a secure website.

After you submit this form, you may remain on this page. Hit "Back" to return to the Certification Schedule page.

If you are paying by check, promptly
send payment to the ACI Certification Program.

Your registration in a class depends upon payment
being received for that class.

 

Thank You for Applying!

Make Checks Payable To:
Northern California & Western Nevada Chapter, ACI

Mail Checks and Make Inquiries To:
Liese Hironaka / ACI Certification Program
lhronka@frontiernet.net
Phone: 800-753-7711 
Fax: 916-689-8093
Post Office Box 2393
Elk Grove, California 95759