PFT Exam Eligibility ID Request – North America "*" indicates required fields Legal Name*Enter your Legal First and Last Name (must match your valid Driver's License). Your middle name is not required for testing purposes. However, if you have a suffix after your last name ( Jr., Sr., II, III, etc.) please include after your last name. First Last Email* Address*Please confirm your mailing address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you have a valid CPR card?*You must have a valid CPR card or certificate before you can take the exam. Refer to Exam Requirements policy. The name listed on your CPR card must match your Driver's License. If it does not, please stop and do no complete this form. Please contact [email protected] for additional instructions. Yes No A valid CPR card is required at the time of testing. You must be CPR certified before you may take the PFT exam. Please exit this form and return when you have a valid CPR card. Refer to Exam Requirements policy. Are you 18 years or older and have a high school diploma or equivalent?*As per our exam policies, exam candidates must be 18 years of age or older and have a high school diploma or equivalent. Yes No Please do not complete this form until you have reached 18 years of age. Refer to Exam Requirements policy. Please exit this form and return when you have reached 18 years of age. What is the highest level of education completed?*High School (or equivalent) graduateAssociate’s degreeBachelor’s degreeMaster’s degreeDoctoral or Professional degreeAs per our exam policies, exam candidates must be able to provide proof, if the exam candidate is chosen during an audit.Graduation Date:* School/college/university name:* City:* State/Province:* Country:* Do you agree and understand the following PFT exam candidate responsibilities and exam policies?*All PFT exam candidates are required to read the PFT Exam Candidate Handbook prior to scheduling their exam. When you agree to our policies, you are acknowledging and understand your exam scheduling responsibilities and exam policies. Note: Exam candidate may be subject to an audit to verify proof of documentation requirements (show proof of valid CPR card/certification, Driver’s License or Passport, High School Diploma or equivalent) Yes, I agree to maintain the confidentiality of the exam content and abide by exam policies as stated in the candidate handbook Yes, I agree to adhere to the NESTA Code of Ethics Yes, I understand I may be subject to an audit to verify proof of documentation requirements No, I do not agree How do you intend to use your certification?*EmploymentSelf-EmploymentPersonal DevelopmentPlease download and read the PFT Exam Candidate Handbook located at: PFT Exam Candidate Handbook Please exit this form and return when you have read the PFT Exam Candidate Handbook.