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Application for Passport & Credentialing Program

Confidentiality of Information: Information supplied by an individual or employer is for the confidential use of the Woodwork Career Alliance and will not be disclosed without the written permission of the individual or employer concerned. This application should be submitted to an Administrator of the Woodwork Career Alliance [WCA]. Administrator verifies Application completeness, maintains a copy for the local WCA Administration file, and submits to the Secretary of the WCA.

Upon acceptance the Candidate will receive a Woodwork Passport.

First Name: *
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Middle Initial:
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Last Name: *
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Home Phone: *
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Cell Phone:
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Email Address: *
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Mailing Address: *
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Address Line 2:
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City: *
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State: *
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Zip Code: *
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Employer or School:
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Contact Name:
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Title or Position:
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Mailing Address:
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Address Line 2:
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City:
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State:
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Zip:
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Contact Phone:
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Contact Fax:
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Statement of Understanding

By signing this application, I verify that a medical professional has found me physically qualified to operate woodworking machinery and tools. I also acknowledge that I have received training in safely operating the woodworking tools and machines for which I seek credentials.

I further agree to the following conditions:
a) to comply with the relevant provisions of the WCA Credentialing program,
b) to only make claims regarding WCA credentialing and stamps earned from the WCA,
c) to never use WCA credentials in a misleading or unauthorized manner,
d) to return WCA credentials and discontinue claims upon suspension or withdrawal, and
e) to never intentionally bring disrespect or disrepute to WCA though my actions.

In addition, I agree to abide by the conditions of credentialing and agree to inform the Secretary of the WCA of any changes affecting the status of the credentialing.

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Release

By fully executing this form, I agree to be listed in the Woodwork Career Alliance electronic worldwide registry. I agree to furnish my WCA Unique ID to school administrators and/or employers for the sole purpose of verifying my current credentials earned and awarded.

I release the Woodwork Career Alliance of North America [WCA] and all employees, volunteers, related parties or other organization associated with the services of the WCA from any and all claims or liabiity arising out of participation. I acknowledge that my participation is voluntary and done at my own risk. I further acknowledge that participation may not (and is not intended to) cover all safety rules, procedures and/or policies applicable to the machinery and that the sole responsibility for explanation, instruction and/or training in regard to the set-up, operation and/or maintenance of the machinery, including all safety rules, procedures and policies, rests with my school and/or employer and me. I understand that I am not entitled to any worker's compensation benefits from the WCA and that any such benefits, if available, would be through my current employer at my place of employment.

I hereby assign and grant WCA the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me at all WCA activities, and I hereby release the WCA, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication. I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of the WCA, and I specifically waive any right to any compensation I may have for any of the foregoing.

In addition, I agree to abide by the conditions of credentialing and agree to inform the Secretary of the WCA of any changes affecting the status of the credentialing.

By submitting this application, I understand and agree to all of the aforementioned.

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Payment

You are ready to purchase your passport. The registration fee for the WCA Passport & Credentialing Program is $55. You will be directed to the passport purchasing system after clicking the "Submit" button below.


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