Online Test Registration - Lightning Protection Institute

Personal Information

Note: Each individual applicant must fill out a separate form, we will not accept multiple applicants on the same registration.

Name*

First Last

Phone*

Fax

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer Information

Current Employer*

Job Title*

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Education Level*

Proctor Information

(*please note that your test will be sent directly to the proctor)

Proctor's Name*

First Last

Proctor Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Proctor Employer*

Proctor Job Title/Position*

Proctor Phone*

Lightning Protection Experience

Description of Experience*

Please give a brief description of your experience in lightning protection.

My work experience in lightning protection installation, systems design and/or estimating totals*

Total number of months.

My work experience in a related building trade, such as roofing, siding, carpentry, plumbing, etc., totals*

Total number of years

My work experience as an electrician totals*

Total number of years

Continued Education*

Please describe any home study courses, seminars or workshops you have completed or attended, including names, dates and places.

Select Tests

You may register to take up to 5 tests at a time, but please note that tests must be taken in sequential order, and you may not test for both a "Master Installer Series" and "Designer/Inspector Series" test as they are two separate certification types.

Are you a member of the LPI?*

Yes
No

Master Installer Series

Master Installer Series (LPI Members)

Journeyman Installer Series #1
Journeyman Installer Series #2
Master Installer Series #1
Master Installer Series #2
Master Installer/Designer Test

Master Installer Series (Non-LPI Members)

Journeyman Installer Series #1
Journeyman Installer Series #2
Master Installer Series #1
Master Installer Series #2
Master Installer/Designer Test

Designer Installer Series

Designer Installer Series (LPI Members)

Designer Inspector Test #1
Designer Inspector Test #2

Designer Installer Series (Non-LPI Members)

Designer Inspector Test #1
Designer Inspector Test #2

Total Cost

$0.00

Electronic Signature

Please read and electronically sign the following statement.

Consent*

I certify that all answers I have provided on this Registration Form are complete and factual.

Signature*

Your typed name will serve as your electronic signature.