Application: Hyperbaric Technician Examination

Complete each section and upload your documents. You pay the exam fee at the end of the application.

Legal name (must match your photo ID)(Required)

Prefix First Last Suffix

Email(Required)

Phone(Required)

Mailing address(Required)

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

Date of birth(Required)

Training site(Required)

Instructor name(Required)

Course completion date(Required)

Highest education(Required)

High school diploma or equivalent

Associate degree or higher

Do you hold a professional license or certification?(Required)

Yes

Proof of course completion(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Certificate, transcript or letter from your training site.

Government-issued photo ID(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Current BLS card(Required)

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

License or certification, if you hold one

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.

Testing accommodations requested (optional)