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25-Point ASNT NDT Level III

Renewal Application
ASNT Identification Number
Please enter your ASNT identification number in the box to the right.

Personal Data Mail certification information to: Home Work


Mail membership material to: Home Work _Mr _ Miss _Mrs Ms
Name
Print your name as you would like it to appear on your certificate (First, Middle or Middle Initial, Last)

Home
Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Work
Organization Name

Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Renewals Requested: (Check the methods below in which certification renewal is sought)
ASNT NDT Level III: AE ET MT PT RT UT VT IR LT NR VA ML

Please equalize my certifications. (See page 8 for details.)

Fees (All fees are in US dollars)


Save on certification fees by becoming an ASNT member. See page 10 for all the benefits members enjoy.
Application Fee Includes new certificate and wallet card $210
ASNT Members: Number of methods checked above times $95 =
Method Fees
Non-Members: Number of methods checked above times $170 =
International Mailing Surcharge Add for all Non-US Residents $40
Take advantage of member pricing now by completing the membership
Membership Option application on pages 10 & 11 and include the total here:

Payment
Payment must accompany application Personal Credit Card Company Credit Card Total
Check Discover
Card Holders Name
Money Order Visa (please print)

Funds Transfer MasterCard Credit Card Billing Address

American Express Card Number


Make payable
to ASNT Expiration Date CIN Number*
(must be drawn on a
US bank) Card Holders Signature Date
*Credit Card Identification Number: Visa/MasterCard/Discover: The three-digit number is printed on the signature panel on the back of the card
following the account number. American Express: The four-digit number is printed above the account number on the front of the card.
25 Point Recertification Application 1 of 11 05/23/16
Requirement 1: Reaffirmation of the
Code of Ethics for Level III Personnel Certified by ASNT
By signature on this application, if certified by ASNT, I agree to abide by the ASNT Code of Ethics for
ASNT Level III Personnel so long as I maintain a Certificate. Further, I understand the right of ASNT to suspend or revoke
any Certificate granted if I abuse the privileges therein granted to me.

I understand that certifications which may result from this application do not constitute any form of license.

I hereby attest that all facts on this application are true and correct and no information which might be detrimental has
been withheld. ASNT may make any inquiries necessary to determine my qualifications for certification. I agree to abide
by the decision of ASNT relative to the granting of any Certifications as applied for herein.

For valuable consideration, the undersigned, having made application for Certification as Level III before ASNT, does
hereby release and forever discharge The American Society For Nondestructive Testing, an Ohio Corporation, from any
and all liabilities, claims, demands, or causes of action whatsoever, which now exist or which may hereafter arise on
account of the undersigneds activities henceforth as Level III certified by ASNT.

The undersigned further acknowledges that this release is being given as a prerequisite for having filed application for
consideration by ASNT.

The undersigned further represents that if not certified by ASNT, then this release and discharge shall have no force and
effect; otherwise, upon certification as set forth above, this release shall be binding on the undersigned and The American
Society for Nondestructive Testing, Inc. and any and all agents of ASNT in connection with such certification process. I
have read and understand the attached transfer, cancellation and refund policy and understand that all application
documents submitted to ASNT become the property of ASNT.

I authorize ASNT to publish my name, city, state, country, test methods, Levels and expiration dates of certification.

Print Name of Applicant

Signature of Applicant

Date

25 Point Recertification Application 2 of 11 05/23/16


Requirement 2: Continued Active Employment
Continued active employment in Level III functions as related to the method(s) for which renewal is sought.
An NDT Level III individual should be capable of establishing techniques and procedures, interpreting codes, standards, specifications, and procedures;
and designating the particular NDT methods, techniques and procedures to be used. The NDT Level III should be responsible for the NDT operations for
which qualified and assigned and shall be capable of interpreting and evaluating results in terms of existing codes, standards and specifications. The
NDT Level III should have sufficient practical background in applicable materials, fabrication, and product technology to establish techniques and to
assist in establishing acceptance criteria when none are otherwise available. The NDT Level III should have general familiarity with other appropriate
NDT methods, as demonstrated by the ASNT Level III Basic examinations or other means. The NDT Level III, in the methods in which certified, should
be capable of training and examining NDT Level I and II personnel for certification/recertification in those methods.

Such employment must have covered at least 36 months during the valid certification period, but not necessarily 36
consecutive months.

Total number of months of active employment in Level III functions in the methods to be renewed during
the period of certification. Add all of the engagements and enter total to the right. Months

At least 12 of the 24 months immediately preceding the expiration of the certification must have been spent in Level III
functions.

Total number of months of active employment in Level III functions in the methods to be renewed during
the 24 months immediately preceding expiration of certification. Enter number of months in last 24 here. Months

If work experience during the certification period DID NOT include all methods for which renewal is being sought, at least
two additional points shall be obtained in each method for which there was no work experience. Check below any
methods where you did NOT meet the criteria listed above. Otherwise continue on.
RT MT UT PT ET AE IR LT NR VA VT ML

Summary of Engagements
Use this page and the following page as necessary to document your continuing active employment. List positions in
reverse chronological order. For each engagement, you are required to supply the name of an individual who can supply
verification of occupational activities and has knowledge of your job functions. Excepting self-employed persons, the
reference/verification should be from an immediate supervisor. Individuals used for references must not be present
subordinates.

Position # 1 Dates of Employment:


Start Date End Date Total Time (Months)

Organization Name

Employer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Check the methods below where you performed Level III job functions during this engagement
RT MT UT PT ET AE IR LT NR VA VT ML

In the space below, provide a summary of the type of work performed during this engagement. Include the methods used,
the level of responsibility, and list specific Level III job functions performed as described above.

I hereby attest the foregoing occupational summary record to be a true account of my work experience during the period
of my Level III certification by ASNT. ASNT has my consent to make inquiries as necessary to verify my claimed
occupational activities.

Signature Date
25 Point Recertification Application 3 of 11 05/23/16
Summary of Engagements (continued)
Photocopy this page as necessary to document your continuing active employment. List positions in reverse chronological
order. For each engagement, you are required to supply the name of an individual who can supply verification of
occupational activities and has knowledge of your job functions. Excepting self-employed persons, the
reference/verification should be from an immediate supervisor. Individuals used for references must not be present
subordinates.

Position # Dates of Employment:


Start Date End Date Total Time (Months)

Organization Name

Employer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Check the methods below where you performed Level III job functions during this engagement
RT MT UT PT ET AE IR LT NR VA VT ML

In the space below, provide a summary of the type of work performed during this engagement. Include the methods used,
the level of responsibility, and list specific Level III job functions performed as described above.

Position # Dates of Employment:


Start Date End Date Total Time (Months)

Organization Name

Employer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

Check the methods below where you performed Level III job functions during this engagement
RT MT UT PT ET AE IR LT NR VA VT ML

In the space below, provide a summary of the type of work performed during this engagement. Include the methods used,
the level of responsibility, and list specific Level III job functions performed as described above.

I hereby attest the foregoing occupational summary record to be a true account of my work experience during the period
of my Level III certification by ASNT. ASNT has my consent to make inquiries as necessary to verify my claimed
occupational activities.

Signature Date

25 Point Recertification Application 4 of 11 05/23/16


Requirement 3: Renewal Points
Documentation of the effort to keep up-to-date, contribute to knowledge, or maintain continued growth in the Method(s)
for which the individual is certified, or to expand knowledge in related technologies must be shown by obtaining a
minimum of twenty-five (25) points during the five (5) year period of certification through engaging in activities in the
categories shown in the table below.

Supporting documentation is required for all points claimed. All supporting documentation shall be keyed by
Category Letter as shown in the left column below and attached to the back of this application. All submitted documents
must be written in the English language. Those documents written in other than the English language must be
accompanied by an English translation.
*** Information on Points and definitions are shown on pages 6 & 7. ***

Point Max. points Points


Category Activity
value allowed Claimed
Teaching NDT courses for which academic credit or IACET 1 point per 2
accredited CEUs ARE given: 16
contact hours
A Teaching NDT courses for which academic credit or IACET 1 point per 2
accredited CEUs are NOT given: 10
contact hours
A maximum of 16 points total may be claimed in category "A".

Taking additional classroom or computer-based NDT training.


1 point per 4
B (Documentation must include number of contact hours and
contact hours
10
verification of successful completion.)
Authoring or co-authoring technical NDT presentations at
2 points per
local technical society or national meetings.
C (To receive credit, the individual must have contributed at
initial 8
presentation
least 50 percent of the content.)
Attending technical sessions, seminars or panels at local 1 point per 3
D ASNT Section or at NDT-related national meetings*. contact hours
10

Preparing and publishing an original NDT-related peer


3 points per
reviewed paper or full article* in a technical society
E publication*. To receive credit, the individual must have
paper or full 12
article
contributed at least 20 percent of the content.
Authoring short technical tips in the ASNT TNT Newsletter or 1 point per
F other NDT-related technical publication published Tip
6

See
G Development and technical review of ASNT publications Definitions 15
on page 7
2 points per
Documented NDT contributions to NDT-related technical
H society committee projects.
completed 12
project
Other non-ASNT third party technical certifications such as 1 point per
I CWI, API, NACE, ASQ, etc. current cert
5

Membership in the American Society for Nondestructive 1 point per


J Testing year
5

Serving as ASNT trained Monitor or Assistant Monitor at 1 point per


K ASNT examinations 1/2-day
6

L Performance of external NDT audits 2 per audit 8

M Receiving a patent for an NDT related product 4 per patent 12

(Enter the total number of points earned in all categories) Total Points Earned:

25 Point Recertification Application 5 of 11 05/23/16


INFORMATION CONCERNING THE POINT SYSTEM FOR RENEWAL
1. ASNT Level III Refresher Courses, accredited CEU courses, college courses, corporate training department courses
and courses of similar quality leading to examinations do qualify for renewal points, provided they contribute to
knowledge and growth at or above the qualification level (Level II or III) in the methods in which the applicant is
certified, or are NDT-related (e.g. math, physical science, QC, etc.), or cover advanced NDT material.
2. Time spent taking examinations of any kind do NOT qualify for renewal points.
3. Acting as a Session Chairman at a Society meeting, or as a Section Officer, National Officer, Council, or Committee
Chairman does NOT qualify for points; these are not technical functions. The only exception is for participation in
technical society meetings whose primary function was to accomplish a significant technical (not administrative)
project. Such projects must meet the requirements for Activity H in Table 1.
4. Test procedures, QC manuals, etc. prepared for employers do not qualify for points; they are considered as part of an
applicant's occupational or work experience.
5. To earn points for attendance at technical sessions, documentation of attendance at the actual technical
presentations must be submitted. Proving general attendance at the conference is not sufficient. At all ASNT
Conferences, forms for documenting attendance are provided at each technical session; have them signed by the
session chairperson and submit copies of them with the application for recertification.
6. Reports prepared for employers do not qualify for points unless and until they are given as a technical presentation or
published per Activities C or F in Table 1.
7. Passing mathematics or physical science courses in connection with a college degree program qualifies for points, but
it is the applicant's responsibility to document the contact hours in order to receive the point credit.
8. Certificates of completion for courses must show either contact hours or CEUs. It is up to the applicant to supply
suitable documentation showing such hours or CEUs. One CEU equals 10 contact hours and is equivalent to 2.5
ASNT recertification points.
9. Providing the name of a person who can verify points is not satisfactory documentation. It is the applicants
responsibility to provide hard copy, i.e., documentation with the attesting persons signature.
10. To count for points, papers must be published in a technical society journal or official society publication. Publications
which are not generally available to the public, such as company or governmental meetings or reports, are not
acceptable. Similarly, talks given at meetings not open to the public do not earn points.
11. In general, the type of point documentation is the same as that needed to satisfy a strict QA/QC auditor. The ASNT
Certification Program records are audited annually and must show strict compliance with the above rules and
procedures, so full compliance is required of all applicants, including proper documentation. In case of doubt about
the suitability of documentation or whether points should be awarded, the final decision rests with the Certification
Management Council.
DEFINITIONS
Committee Projects: Specific identifiable official activities of the national technical societies such as round-robin or
individual studies, preparation of guidelines, appendices, specifications, recommended practices, codes or standards,
etc., may qualify. Documentation may include memo or letter reports, drafts of committee output documents, or major
written comments on documents. Verbal comments, attendance at meetings, or return ballots without major comments do
not qualify.
External NDT Audit: An NDT audit of a facility other than that of the auditor's place of employment such as NDT vendor
or supplier audits.
Full Article: A full article is one of 1000 words or more at the time of publication.
Membership: Membership will be calculated based on the number of months a certificate holder has been a member in
the current 5-year certification cycle. For each month of membership, 1/12th of a point (0.083 points) may be claimed.
National Meetings: Meetings, conferences, symposia, seminars, panels, etc., organized or sponsored by a national
technical society or societies and advertised nationally. Regional conferences may qualify if they meet the above criteria.
Trade shows and trade association meetings do not qualify. Closed meetings, i.e., those with attendance or notification
restricted to certain groups, do not qualify. Foreign or international meetings qualify if the sponsor(s) are national or
international and the attendance is not restricted.
Patents: Patents shall be those issued by the U.S. Patent Office or equivalent non-US governmental agency.
Publication Development and Review: Authors and reviewers may earn points for publication activities as shown below provided the
contribution is published.
25 Point Recertification Application 6 of 11 05/23/16
Publication Publication
Activity Points Activity Points
type type
Contribute one full chapter 3 Contribute full article (1000+ words) 3
NDT Materials
Contribute part of one chapter 1 Contribute short article or Tech Tip 1
Handbook Evaluation
Review one chapter 1 Article review 1
Author or revise one full book 3 Contribute full article (1000+ words) 3
Study Guides, Full publication review 2 Contribute Working Smarter Tip 1
The NDT
Q&A Books,
Partial publication review 1 Technician Contribute short article or Tech Tip 1
etc.
Contribute single chapter 1 Article review 1

Technical Society: A not-for-profit society representing a segment of industry in an NDT-related field or representing an industry that
is an NDT user.
Technical Society Publications: The publications of national technical societies qualify. Foreign or international technical journals
also qualify.
Other Technical Certifications: Currently valid non-ASNT NDT-related certifications such as the AWS CWI or SCWI; API 510, 570 &
653; NACE and ASQ CQA can be counted for one point each. If a certification body issues a separate certificate for each individual
NDT test method, then only one certificate from that certification body may be counted.

POINTS DOCUMENTATION
Below are examples of typical documentation for each of the points categories. Similar documentation that is submitted will be
considered on an individual basis.

Item Typical Documentation


Training course outlines showing the NDT subject and number of classroom/contact hours and a copy of an IACET CEU
A (a) certificate with your signature as the instructor. For academic courses, a copy of the course description (from a school
Course Catalog, etc) showing the subject, hours, and you as the instructor.
Training course outlines showing the NDT subject and number of training hours. A copy of a student's training
A (b) documentation that would be placed in their company personnel certification file is satisfactory as long as the hours, subject
and your name as instructor is shown.
Evidence of completion such as transcripts, certificates, diplomas, grades, etc. which denote contact hours or CEUs issued,
B
the course subject and your participation.
Meeting notices, published programs, or correspondence on company or society letterhead, which identify the meeting,
C
presentation title, presenter/authors name, and date.
Registration forms, trip reports, certificates of attendance, correspondence, or other positive evidence of attendance. This
D
must denote activity title, date, location, and content.
The first page of a published paper is adequate, provided the title, the author(s) name(s), and the name and date of the
E
publication appear.
A copy of the page showing the published technical tip with your name on it as the author or a copy of an e-mail from the
F
editor stating that you did submit a tip that was used.
A copy of a letter, fax or e-mail from the appropriate ASNT Editor attesting that you have performed the development work
G or technical review being claimed.
*** NOTE: You must request such documentation; it will not be generated automatically. ***
Committee meeting minutes or memoranda, correspondence, letter reports, or other evidence that identifies your role in
H
completing committee projects is acceptable.
Copies of currently valid NDT-related certifications. Note: If a certification body issues individual certificates for each NDT
test method, only one such certificate will be accepted from that cert body for each Level of qualification. Certificates issued
I by the same cert body but for different applications (such as API 653, 510 or 570 certificates) would each count as a
separate certification.
Copies of past ASNT membership cards, a copy of receipts for membership payment within the current certification cycle or
J
an e-mail from ASNT staff documenting the number of years will be accepted.
K A copy of the agreement between ASNT and the Monitor (or Assistant Monitor) is acceptable.
A letter from a responsible agent of the 3rd party that was audited attesting that the applicant performed an NDT audit is
L
acceptable. (Audit materials are by nature confidential and are not wanted and will NOT be accepted).
A copy of a new or renewed patent for an NDT product is acceptable provided it was granted or renewed within the current
M
5-year certification period.

25 Point Recertification Application 7 of 11 05/23/16


Wallet Card Signature
Your signature is needed for your ASNT NDT Level III wallet card. In the signature box, sign your name as you would
like it to appear on your wallet card. Please use black or blue ink. Keep your entire signature inside the box.

Signature Box

Submit Application Make Checks payable to ASNT .


The application must be completed by the applicant.
Fax or E-Mail, or if paying by credit card, you may
All applicable portions of the application must be fax this application, attachments, and fees to ASNT
completely and accurately filled out. Incomplete at:
applications may be returned and will delay the renewal
process. 614-274-6899 or E-Mail to Shopasnt@asnt.org

Online: Submit your documentation and fees


securely, on ASNT website. Transfers/Cancellations/Refunds
https://www.asnt.org/MajorSiteSections/Certific No refunds will be made for renewal applicants who do
not meet the requirements for renewal.
ation/AppStart?pt=n3&st=renew
Renewal applications postmarked after the certification
Mail expiration date will be returned less a $75 administrative
Mail this application, accompanying documents, and fee. All other fees are non-refundable and non-
fees to ASNT at: transferable.
ASNT
1711 Arlingate Lane No exceptions will be made to the above policy.
P.O. Box 28518 Columbus,
OH 43228-0518

Equalizing your Certifications


This permits you to renew any (or all) of your ASNT NDT Level III certificates when your earliest certificate expires. You pay
one $210 Application Fee and one Method Fee per Method. All equalized certificates will then have the same expiration date.

Application Due Date


ASNT certificates expire on the last day of the month listed on the certificate.

Renewal applications must be postmarked no earlier than 6 months and no later than 2 months prior to the
expiration date shown for each method. If equalizing methods with different expiration dates, the application must
be postmarked 6 to 2 months prior to the expiration date of the earliest expiring method.

Example 1: An application to renew MT and PT Level III certifications both expiring in July 2012 must be postmarked
between January 31, 2012 and May 31, 2012, which are 6 and 2 months prior to July 31, 2012, respectively.

Example 2: An application to renew and equalize an RT certification expiring October 2012 and a UT certification
expiring February 2013 must be postmarked between April 30, 2012 and August 31, 2012, which are 6 and 2 months
prior to the earliest expiration date of October 31, 2012.
***If the application review determines that additional documentation is required, it MUST
be received prior to the candidate's expiration date or the certification will expire.***

25 Point Recertification Application 8 of 11 05/23/16


Code of Ethics for Level III Personnel Certified by ASNT
1. Preamble 4.2. The Level III will publicly express no opinion on a nondestructive
1.1. In order to safeguard the life, health, property, and welfare of the testing matter unless it is founded upon adequate knowledge of the
public, to maintain integrity and high standards of skills and facts in issue, upon a background of technical competence in the
practices in the profession of nondestructive testing, the following subject matter, and upon honest conviction of the accuracy and
rules of professional conduct shall be binding upon every person propriety of the testimony.
issued a certificate by ASNT as a Level III. 5. Conflict of Interest
1.1.1. The Level III who holds a certificate is charged with 5.1. The Level III shall conscientiously avoid conflict of interest with
having knowledge of the existence of the reasonable rules the employer or client, but when unavoidable, shall forthwith
and regulations hereinafter provided for his/her conduct as disclose the circumstances to the employer or client.
ASNT Level III, and also shall be familiar with their 5.2. The Level III shall promptly inform the client or employer of any
provisions and understand them. Such knowledge shall business associations, interests, or circumstances which could
encompass the understanding that the practice of influence his/her judgment or the quality of services to the client or
nondestructive testing under this certification is a privilege, employer.
as opposed to a right, and the Level III shall be forthright 5.3. The Level III shall not accept compensation, financial or
and candid in statements or written responses to the Ethics otherwise, from more than one party for services on the same
Committee of the Certification Management Board. project, or for services pertaining to the same project, unless the
1.1.2. The Level III as referred to herein is that individual who circumstances are fully disclosed to, and agreed to, by all
has been issued a certificate by the American Society for interested parties or their duly authorized agents.
Nondestructive Testing, Inc. pursuant to its heretofore 5.4. The Level III shall not solicit or accept financial or other valuable
published requirements, rules, and procedures for such consideration from material or equipment suppliers for specifying
certification. This Code of Ethics is binding upon all their products.
individuals so certified. 5.5. The Level III shall not solicit or accept gratuities, directly or
2. Integrity indirectly, from contractors, their agents, or other parties dealing
2.1. The Level III is obligated to act with complete integrity in with the client or employer in connection with work for which
professional matters for each client or employer as a faithful agent he/she is responsible.
or trustee; shall be honest and impartial; and shall serve the public, 5.6. As an elected, retained, or employed public official, the Level III
clients, and employer with devotion. (in the capacity as a public official) shall not review or approve
2.2. The Level III shall make claims regarding certification only with work that was performed by himself/herself, or under his/her
respect to the scope for which certification has been granted; and direction, on behalf of another employer or client.
2.3. The Level III shall not to use their certification in a misleading 6. Solicitation of Employment
manner or in such a manner as to bring ASNT into disrepute, nor 6.1. The Level III shall not pay, solicit, nor offer, directly or indirectly,
to make any statement regarding the certification which ASNT any bribe or commission for professional employment with the
may consider misleading or unauthorized. exception of payment of the usual commission for securing
3. Responsibility to the Public salaried positions through licensed employment agencies.
The Level III shall: 6.2. The Level III shall seek professional employment on the basis of
3.1. Protect the safety, health, and welfare of the public in the qualification and competence for proper accomplishment of work.
performance of professional duties. Should the case arise where the 6.3. The Level III shall not falsify or permit misrepresentation of
Level III faces a situation where the safety, health, and welfare of his/her, or his/her associates, academic or professional
the public are not protected, he/she shall: qualification. He/she shall not misrepresent or exaggerate the
3.1.1. Apprise the proper authority if it is evident that the safety, degree of responsibility in or for the subject matter of prior
health, and welfare of the public are not being protected; assignments.
and 6.4. Brochures or other presentations incident to the solicitation of
3.1.2. Refuse to accept responsibility for the design, report, or employment shall not misrepresent pertinent facts concerning
statement involved; and employers, employees, associates, joint ventures, or past
3.1.3. If necessary, sever relationship with the employer or client; accomplishments with the intent and purpose of enhancing
and qualifications and work.
3.1.4. Undertake to perform assignments only when qualified by 7. Improper Conduct
training and experience in the specific technical fields 7.1. The Level III shall not sign documents for work for which he/she
involved. In the event a question arises as to the does not have personal professional knowledge and direct technical
competence of an Level III to perform an assignment in a supervisory control and responsibility.
field of specific discipline which cannot be otherwise 7.2. The Level III shall not knowingly associate with, or permit the use
resolved to the Ethics Committees satisfaction, the Ethics of, his/her name or firm name in a business venture by any person
Committee, either upon request of the Level III, or by its or firm which he/she knows, or has reason to believe is engaging in
own volition, may require him/her to submit to an business or professional practices of a fraudulent or dishonest
appropriate inquiry by or on behalf of the Ethics nature.
Committee; and 8. Unauthorized Practice
3.1.5. Be completely objective in any professional report, 8.1. Any violation of this code shall be deemed to be an unauthorized
statement, or testimony, avoiding any omission which practice and upon proper complaint, investigation, due process
would, or reasonably could, lead to fallacious inference, hearing and ruling of the Ethics Committee of the ASNT
finding, or misrepresentation; and Certification Management Council in accordance with procedures
3.1.6. Express an opinion as a technical witness before any court, heretofore established and published, sanctions may be applied to
commission, or other tribunal, only when such opinion is the individual(s) in violation.
founded upon adequate knowledge of the facts in issue, 8.2. If the applied sanction is suspension or revocation of certification,
upon a background of technical competence in the subject the certificate holder agrees to discontinue all claims of ASNT
matter, and upon an honest conviction of the accuracy or certification and must return all certificates and wallet cards issued
propriety of the testimony. by ASNT.
4. Public Statements 9. Rulings of Other Jurisdictions
4.1. The Level III will issue no statements, criticisms, or arguments on Conviction of an NDT-related felony while ASNT certification is valid
nondestructive testing matters connected with public policy which or the revocation or suspension of a Professional Engineers License by
are inspired or paid for by an interested party, or parties, unless another jurisdiction or similar rulings by other professional associations
he/she has prefaced the remark(s) by explicitly identifying may be grounds for a charge of violation of this Code.
himself/herself, by disclosing the identities of the party, on whose
behalf he/she is speaking, and by revealing the existence of any
pecuniary interest he/she may have in these matters.
25 Point Recertification Application 9 of 11 05/23/16
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materials will be sent sea/surface mail; allow 3-4 months for delivery.
Dues are nonrefundable, nontransferable. Includes subscription to Materials
Evaluation and The NDT Technician, a quarterly newsletter. Do not miss out on subscribing to ASNTs quarterly research journal, RNDE.

Total Membership Amount $


Please enter total amount in membership box on page one and add to total.

Be sure to complete the questions on the next page.

25 Point Recertification Application 10 of 11 07/15/15


Membership Profile
1. Year of Birth 9. Choose the one business segment that best
describes your company. (select only one)
2. Gender 0 Male 0 Female
NDT Utilization Business
3. Highest Education Level 0 Aerospace/Aviation/Aircraft 0 Medical
0 Grades 1 - 12 0 Amusement Rides & Skiing 0 Nuclear
0 High School Diploma 0 Automotive 0 Optical
0 Some College 0 Chemical & Petroleum 0 Ordnance
0 2-Year Associate Degree 0 Construction 0 Pipeline
0 4-Year Undergraduate Degree 0 Commercial Labs 0 Pulp/Paper
0 Master's Degree 0 Infrastructure (Roads & Bridges) 0 Railroad
0 Doctorate Degree 0 Electronics 0 Semiconductor
0 Marine 0 Utilities
4. Years of Experience in NDT NDT Supplier Business
01-5 06-10 011-15 016-20 021 & over 0 Consulting 0 Robotics
0 Distributor/Manufacturer's 0 Supplies
5. Number of people involved with NDT at 0 Representative 0 Training
your company 0 Equipment 0 Computer Software
01-5 06-20 021-50 051-100 0 over 100 0 Research 0 Computer Hardware

6. Your Job Function - Choose the one that 10. Choose the primary type of NDT that you do.
best describes your role. (select only one) (select only one)
0 NDT Management 0 Sales/Marketing 0 Design and Failure Analysis
0 Quality Management 0 Researcher 0 Field Inspection
0 Engineer 0 Academic/Educator 0 Incoming Inspection
0 Technician/Inspector 0 Trainer/Instructor 0 In-service, Plant/Operation Maintenance & Process Control
0 Consultant 0 Student 0 Product Life Extension
0 QA/QC Reliability
0 None of the above
7. Purchasing Responsibility
(select all that apply) 11. Highest Level of NDT qualification
I recommend/approve the purchase of: (select only one)
0 Equipment/Instruments/Supplies 0 None 0 ASNT NDT Level II
0 Training & Study Materials/Programs 0 Level I 0 ASNT NDT Level III
0 Services 0 Level II 0 ACCP Level II
0 I am not involved in purchasing 0 Level III 0 ACCP Level III
0 IRRSP
8. With which NDT method(s) do you work?
(select all that apply)
0 Acoustic Emission 0 Magnetic Flux Leakage
0 Alternating Current Field Measurement 0 Magnetic Particle
0 Electromagnetic/Eddy Current 0 Neutron Radiography
0 Ground Penetrating Radar 0 Radiography
0 Infrared & Thermal 0 Ultrasonics
0 Laser 0 Vibration Analysis
0 Leak 0 Visual
0 Liquid Penetrant

For Questions Contact the Membership Department at:


Phone 614.274.6003 Toll Free 800.222.2768 (US/Canada)

25 Point Recertification Application 11 of 11 07/15/15

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