Name: __________________________________________________________

AWS Membership #: ___________________

40 Hour Retest Training Log

Instructors Information
First Name _________________________________ Last Name ____________________________________
CWI # (if applicable) _________________ Course Title ____________________________________________
Facility Information

Type of facility

Course Type

Name ___________________________________________________________________________________________

College

Private Tutor

Address _________________________________________________________________________________________

Vocational/Technical

Online Course

City ____________________________ State/Province _______

Training Institution

Classroom Training

Subject(s) Covered

Zip Code ____________ Country _____________

Date

Time

By signing below, I verify I have provided training to the AWS certification exam candidate as indicated above. I understand that any false statement will nullify
this record and disqualify the exam candidate from achieving any AWS certification. I give AWS permission to verify this information as necessary.

______________________________________________
Instructors Signature

Certification 40hr Retest Training Log

_____________________________
Date

July 22, 2015