Ame:__________________________________________________________________________________________________ (Last) (First) (Middle Initial) S.S. # (Last 4 Digits Only): _____________________ NCDOT (Check if applicable) Division No.: ______________ Personnel No.: ____________________ (NCDOT Only) Non - NCDOT (Check if applicable) Company: ___________________________________________________________ Company Mailing Address: _________________________________________________________________________.

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How to fill out the NC Roadway Technician Class Application online

Filling out the NC Roadway Technician Class Application online is a straightforward process designed to guide users in applying for certification. This guide provides detailed steps to assist you in completing each section of the application with confidence.

Follow the steps to complete your application online.

  1. Click the ‘Get Form’ button to obtain the application form and open it in the editor.
  2. Begin by entering your personal data in the designated fields. Provide your last name, first name, and middle initial.
  3. Input the last four digits of your Social Security number in the corresponding field. If applicable, check the NCDOT box.
  4. For NCDOT employees, enter your Division Number and Personnel Number.
  5. If you are a non-NCDOT applicant, check the appropriate box and complete the company name and mailing address fields.
  6. Provide the name of the person submitting the application, along with their telephone number and fax number.
  7. In the Class Requested section, check the box for the Roadway Technician Class and include your payment details, ensuring to attach the $100 fee.
  8. Mark the appropriate box for your request type: initial attendance, re-certification, or re-test, and provide any necessary expiration date for re-certification.
  9. Complete the Prerequisite Requirements section by entering the date of completion for the Introduction to Asphalt Pavements Course and attaching any required documentation.
  10. Once you have filled out all required sections accurately, save your changes. You can then download, print, or share the form for submission.

Start filling out your application online today to ensure timely processing!

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