|W5YI-VE APPLICATION STATEMENT
I am a currently licensed:___General Class, ____ Advanced Class;___ Extra Class amateur radio operator and wish to participate in the W5YI-VEC Amateur Radio operator Volunteer Examination program. I have never had my station or operator license revoked or suspended, nor have I ever been disaccredited or refused accreditation by another VEC. I am at least 18 years old.
I am familiar with the FCC Rules concerning Amateur Radio operator license testing as indicated in Title 47 CFR, Part 97, Subpart F. I agree to conduct all amateur radio examinations in accordance with these Rules and the procedures established by the W5YI-VEC.
I understand that failure to comply with these procedures could result in my being separated from the W5YI-VEC Volunteer Examination program. Serious violations of the FCC Rules may result in suspension or revocation of my amateur operator/primary station license.
I understand the relationship between the VE and VEC is one of responsibility and trust. Each of us is free to terminate that relationship at any time and for any (or no) reason or circumstance.
I agree to accept the decisions of the VEC and to release them from any liability associated with those decisions.
Station Call Sign:________________ Date:_______________