NRCA ProCertification Installer Application

If you would like to participate in the hands-on performance exam scheduled in Tampa, FL with Cotney Attorneys & Consultants, complete this application in its entirety. Your application will be reviewed, and you will be notified of your certification eligibility within five business days. Applications must be submitted by May 14, 2021.

Certification Type

Select the NRCA ProCertification credential you are applying for and confirm you meet eligibility requirements to continue.

NRCA ProCertified^® Clay and Concrete Tile Systems Installer
I confirm that I have at least 24 months experience installing clay and concrete tile roof systems, with my most recent experience within the last 12 months and my experience includes installing underlayment, metal valleys and flashings, battens and tile layout and various attachment methods.

NRCA ProCertified^® Thermoplastic Systems Installer
I confirm that I have at least 24 months experience installing thermoplastic roof systems, with my most recent experience within the last 12 months and my experience includes flashings, sheet layout and attachment.

Exam Language

Select the preferred language for your examination below.

English

Spanish

Cotney Performance Exam Event

To select your top three date and time choices for your performance exam, choose from the drop-down menus below. Every effort will be made to meet your request.

Candidate Information

NRCA Individual ID: (if known)

First Name (as shown on government-issued ID)

Last Name (as shown on government-issued ID)

Home Address

City

State

ZIP code

Country

Province (if applicable)

Primary contact phone

Primary email address*

*Email is our primary means of communication. Your email address will be used for all communication and as the candidate's User ID for the NRCA website.

Authorized Representative

If you wish for NRCA to communicate with another person regarding this application and subsequent credential-related information, please provide his or her contact information below. This representative will be included in all communications.

First Name

Last Name

Phone

Email address

Employment History

Enter your current employer and employment dates below. If necessary, enter additional employment information to meet work experience eligibility requirements.

Current Employer Name

City

State

Job Title

Employment Start Date (mm/yy)

Employer 2

City

State

Job Title

Employment Start Date (mm/yy)

Employment End Date (mm/yy)

Employer 3

City

State

Job Title

Employment Start Date (mm/yy)

Employment End Date (mm/yy)

Employer 4

City

State

Job Title

Employment Start Date (mm/yy)

Employment End Date (mm/yy)

Employer 5

City

State

Job Title

Employment Start Date (mm/yy)

Employment End Date (mm/yy)

Employer Verification

A verification form will be sent to your employer to verify you meet the specific work experience requirements. Provide the name and email address of your supervisor who should complete this form below:

Supervisor's Name

Supervisor's Title

Supervisor's Phone

Supervisor's Email

Certification Fee

NRCA Member: $799 Nonmember: $1,599

Cancellation Policy

Following are policies and fees regarding canceling NRCA ProCertification hands-on Performance Exam event appointments:

Cancellation 7 calendar days or less before your test date– $250 cancelation fee
Failure to arrive for a schedule appointment is considered a no-show and will result in a $250 cancellation fee.

To cancel your scheduled performance exam send an email notification to certification@nrca.net. If you do not comply with the cancellation policy, you will be considered a "no-show" and incur a fee.

Application Agreement

Applicant: By submitting this application, I hereby agree that I have read, understand and will abide by all NRCA ProCertification program terms and conditions.

Preparer: I am submitting this application on behalf of the applicant. I hereby confirm that I have read and explained the NRCA ProCertification program terms and conditions to the applicant and he or she understands and agrees to abide by all of these terms and conditions.

Preparer's Name

Relationship to Applicant

NRCA Member

To receive member pricing, please enter your NRCA member number below.

Payment

Payment amount

Non-member pricing

First name

Last name

Credit Card Number

CVV Code

Month

Year

Accepted credit cards:

Address 1

Address 2

City

State

Zip

Country

Phone

Promotion code

If you have a promotion code enter it below.

Cost (Non-member)
NRCA ProCertification Installer Application – Cotney Event

1599.00
Total (USD) 1599.00

NRCA ProCertification Installer Application – Cotney Event

Certification Type

Exam Language

Cotney Performance Exam Event

Candidate Information

Authorized Representative

Employment History

Employer Verification

Certification Fee

Cancellation Policy

Application Agreement

NRCA Member

Payment

Promotion code

Cost (Non-member)