25-Point ASNT NDT Level III Renewal Application: ASNT Identification Number Contact Information

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25-Point ASNT NDT Level III

Renewal Application
ASNT Identification Number
If you have previously been given an ASNT identification number, please enter it in this box:

Contact Information
Primary Email Address:
You must provide your email address to apply for an ASNT certification. This must belong to you and cannot be a shared
email address. It will be used for all ASNT communications and will be your user name for www.asnt.org.

Name – Print your name. Your name should match your identification.

First (Given) Name Middle (Additional) Name Last Name (Family Name/Surname) Suffix (Jr, Sr, II)

Address – Print your mailing address. This address will be used for your certification materials.
Address Type: Home Business

Organization Name

Address

Address

City State/Prov. ZIP/Postal Code Country

Additional Contact Infomation

Primary Phone Alternative Phone

Alternate Email Address

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 $250


ASNT Members: Number of methods checked on page 2 ______ times $95 =
Method Fees Non-Members: Number of methods checked on page 2 ________ times $170 =
Take advantage of member pricing now by completing the membership application on
Membership Option pages 10 & 11 and include the total here:
Total
Payment - Applications will not be processed without payment
Funds
Credit Card Check
Transfer
Visa MasterCard Discover American Express
Checks must be Contact ASNt
Name on Card in US dollars and for wire
drawn on a US instructions
Card Number bank.

Expiration Date CIN Number*

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.
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.

Equalization permits you to renew any (or all) of your ASNT NDT Level III certificates when your earliest certificate
expires. You pay one $250 Application Fee and one Method Fee per Method. All equalized certificates will then
have the same expiration date, using the date of the earliest expiring certification.

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 2017 must be postmarked
between January 31, 2017 and May 31, 2017, which are 6 and 2 months prior to July 31, 2017, respectively.

Example 2: An application to renew and equalize an RT certification expiring October 2017 and a UT certification
expiring February 2018 must be postmarked between April 30, 2017 and August 31, 2017, which are 6 and 2 months
prior to the earliest expiration date of October 31, 2017.
***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.***

Submit Application
The application must be completed by the applicant.

All applicable portions of the application must be completely and accurately filled out. Incomplete applications may be
returned and will delay the renewal process.

Online: Submit your documentation and fees securely Start your renewal here

Mail: Mail this application, accompanying documents, and fees to ASNT at:

ASNT
1711 Arlingate Lane
Columbus, OH 43228-0518

Make Checks payable to ASNT.

Fax or E-Mail, or if paying by credit card, you may fax this application, attachments, and fees to ASNT at:
614-274-6899 or E-Mail to Shopasnt@asnt.org

Transfers/Cancellations/Refunds
No refunds will be made for renewal applicants who do not meet the requirements for renewal.

Renewal applications postmarked after the certification expiration date will be returned less a $75 administrative fee. All
other fees are non-refundable and non- transferable.

No exceptions will be made to the above policy.


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 undersigned’s 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

Signature
ASNT needs a record of your signature. Sign your name in the box below. Please use black or dark blue ink. Keep your
entire signature inside the box.

Signature Box
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
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
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 10
ASNT Section or at NDT-related national meetings*. contact hours
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 6
other NDT-related technical publication published Tip
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 5
Testing year
Serving as ASNT trained Monitor or Assistant Monitor at 1 point per
K 6
ASNT examinations 1/2-day
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:
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 applicant’s
responsibility to provide hard copy, i.e., documentation with the attesting person’s 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.
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/author’s 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.
CODE OF ETHICS FOR LEVEL III PERSONNEL CERTIFIED BY ASNT
1. Preamble entity without the explicit written consent of
ASNT.
1.1. In order to safeguard the life, health, property, and 4. Responsibility to the Public
welfare of the public, to maintain integrity and high
standards of skills and practices in the profession of The Level III shall:
nondestructive testing, the following rules of professional
conduct shall be binding upon every person issued a 4.1. Protect the safety, health, and welfare of the public in
certificate by ASNT as a Level III. the performance of professional duties. Should the
case arise where the Level III faces a situation where
1.1.1. The Level III who holds a certificate is charged with the safety, health, and welfare of the public are not
having knowledge of the existence of the protected, he/she shall:
reasonable rules and regulations hereinafter 4.1.1. Apprise the proper authority if it is evident that
provided for his/her conduct as ASNT Level III, the safety, health, and welfare of the public are
and also shall be familiar with their provisions and not being protected; and
understand them. Such knowledge shall
encompass the understanding that the practice of 4.1.2. Refuse to accept responsibility for the design,
nondestructive testing under this certification is a report, or statement involved; and
privilege, as opposed to a right, and the Level III 4.1.3. If necessary, sever relationship with the
shall be forthright and candid in statements or employer or client; and
written responses to the Ethics Committee of the 4.1.4. Undertake to perform assignments only when
Certification Management Board. qualified by training and experience in the
1.1.2. The “Level III” as referred to herein is that specific technical fields involved. In the event
individual who has been issued a certificate by the a question arises as to the competence of a
American Society for Nondestructive Testing, Inc. Level III to perform an assignment in a field of
pursuant to its heretofore published requirements, specific discipline which cannot be otherwise
rules, and procedures for such certification. This resolved to the Ethics Committee’s
Code of Ethics is binding upon all individuals so satisfaction, the Ethics Committee, either upon
certified. request of the Level III, or by its own volition,
may require him/her to submit to an
2. Integrity appropriate inquiry by or on behalf of the
Ethics Committee; and
2.1. The Level III is obligated to act with complete integrity in
professional matters for each client or employer as a 4.1.5. Be completely objective in any professional
faithful agent or trustee; shall be honest and impartial; report, statement, or testimony, avoiding any
and shall serve the public, clients, and employer with omission which would, or reasonably could,
devotion; lead to fallacious inference, finding, or
misrepresentation; and
2.2. The Level III shall make claims regarding certification 4.1.6. Express an opinion as a technical witness
only with respect to the scope for which certification has before any court, commission, or other
been granted; and tribunal, only when such opinion is founded
2.3. The Level III shall not to use their certification in a upon adequate knowledge of the facts in issue,
misleading manner or in such a manner as to bring ASNT upon a background of technical competence in
into disrepute. The Level III shall not make any the subject matter, and upon an honest
statement regarding the certification, which ASNT may conviction of the accuracy or propriety of the
consider misleading or unauthorized. testimony.
3. Responsibly to ASNT 5. Public Statements

The Level III Shall: 5.1. The Level III will issue no statements, criticisms, or
arguments on nondestructive testing matters
3.1. Immediately report to ASNT any perceived violation(s) of connected with public policy which are inspired or
this Code of Ethics or any attempt to pressure or force a paid for by an interested party, or parties, unless
certified individual to violate this Code of Ethics. he/she has prefaced the remark(s) by explicitly
3.2. Not attempt to cheat on ASNT examinations, attempt to identifying himself/herself, by disclosing the identities
bribe or threaten ASNT / Pearson Vue or other third party of the party, on whose behalf he/she is speaking, and
testing personnel, falsify documents, falsely claim, by revealing the existence of any pecuniary interest
misrepresent or permit misrepresentation or misuse of he/she may have in these matters.
their own or others professional qualifications, 5.2. The Level III will publicly express no opinion on a
knowledge, training, experience, work responsibilities, or nondestructive testing matter unless it is founded
certifications. upon adequate knowledge of the facts in issue, upon
3.3. Inform employer / client in the event that certification is a background of technical competence in the subject
suspended, cancelled, or withdrawn and return to ASNT matter, and upon honest conviction of the accuracy
Level III certificate and wallet card immediately; and and propriety of the testimony.

3.3.1 Immediately discontinue the use of the ASNT 5.3. The Level III shall show professional and appropriate
logo. Due to ASNT’s trademark copyright, behavior, including, but not limited to, online and
ASNT logo is not to be use by any individual or social media. The term “social media” is used within
this Code to describe dynamic and socially interactive

COE-1 Rev. 1
CODE OF ETHICS FOR LEVEL III PERSONNEL CERTIFIED BY ASNT

networked information and communication 8. Improper Conduct


technologies by which personal information or
opinions can be presented for public consumption on 8.1. The Level III shall not sign documents for work for
the Internet. which he/she does not have personal professional
knowledge and direct technical supervisory control
6. Conflict of Interest and responsibility.
6.1. The Level III shall conscientiously avoid conflict of 8.2. The Level III shall not knowingly associate with, or
interest with the employer or client, but when avoidable, permit the use of, his/her name or firm name in a
shall forthwith disclose the circumstances to the business venture by any person or firm which he/she
employer or client. knows, or has reason to believe is engaging in
business or professional practices of a fraudulent or
6.2. The Level III shall promptly inform the client or employer dishonest nature.
of any business associations, interests, or circumstances
which could influence his/her judgment or the quality of 8.3. The Level III shall conduct themselves in an honest
services to the client or employer. and ethical manner. It is expected that Level III’s
observe all laws applicable to our business, including
6.3. The Level III shall not accept compensation, financial or but not limited to international, federal,
otherwise, from more than one party for services on the state/provincial and local laws.
same project, or for services pertaining to the same
project, unless the circumstances are fully disclosed to, 8.4. While this code addresses may ethical issues, it
and agreed to, by all interested parties or their duly cannot address every issue that a Level III may
authorized agents. encounter. As such, if a situation arises in which a
Level III is unsure if an action would be deemed
6.4. The Level III shall not solicit or accept financial or other unethical, the Level III may consult ASNT.
valuable consideration from material or equipment
suppliers for specifying their products. 9. Unauthorized Practice
6.5. The Level III shall not solicit or accept gratuities, directly 9.1. Any violation of this code shall be deemed to be an
or indirectly, from contractors, their agents, or other unauthorized practice and upon proper complaint,
parties dealing with the client or employer in connection investigation, due process hearing and ruling of the
with work for which he/she is responsible. Ethics Committee of the ASNT Certification
Management Council in accordance with procedures
6.6. As an elected, retained, or employed public official, the heretofore established and published, sanctions may
Level III (in the capacity as a public official) shall not be applied to the individual(s) in violation.
review or approve work that was performed by
himself/herself, or under his/her direction, on behalf of 9.2. If the applied sanction is suspension or revocation of
another employer or client. certification, the certificate holder agrees to
discontinue all claims of ASNT certification and must
7. Solicitation of Employment
return all certificates and wallet cards issued by
7.1. The Level III shall not pay, solicit, nor offer, directly or ASNT.
indirectly, any bribe or commission for professional 10. Rulings of Other Jurisdictions
employment with the exception of payment of the usual Conviction of an NDT-related felony while ASNT
commission for securing salaried positions through certification is valid or the revocation or suspension of a
licensed employment agencies. Professional Engineer’s License by another jurisdiction or
7.2. The Level III shall seek professional employment on the similar rulings by other professional associations may be
basis of qualification and competence for proper grounds for a charge of violation of this Code.
accomplishment of work.
I agree to abide by this Code of Ethics.
7.3. The Level III shall not falsify or permit misrepresentation
of his/her, or his/her associates’, academic or
professional qualification. He/she shall not misrepresent
or exaggerate the degree of responsibility in or for the
Name (Please Print)
subject matter of prior assignments.
7.4. Brochures or other presentations incident to the
solicitation of employment shall not misrepresent Signature
pertinent facts concerning employers, employees,
associates, joint ventures, or past accomplishments with
the intent and purpose of enhancing qualifications and Date MM/DD/YYYY
work.

COE-1 Rev. 1
ASNT Individual Membership Application & Renewal Form
Member Information
Last Name First Name M.I. Phone
Send Membership Materials to: 0 Home 0 Office Former Member: 0 Yes 0 No

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maintaining membership along with your certification. • Members Only access at www.asnt.org provides
publications and networking functions
ASNT membership keeps you informed of the latest in • Serve on ASNT committees; be part of a group that may
technology in addition to savings on certification exams. effect change or the industry
ASNT membership includes:
Become part of the foremost nondestructive
• 25% discount on all items purchased from our
Publications Catalog or Shop ASNT online at testing society and be fully connected to the
www.asnt.org NDT world.

Renewing Renewing Member New Member Dues New Member


Member Dues Dues with Airmail Dues with Airmail
Membership Options
Service included Service included
One-Year 0 $65 0 $113 0 $75 0 $123
Two-Year 0 $125 0 $209 0 $135 0 $219
Three-Year 0 $180 0 $294 0 $190 0 $304
Five-Year 0 $290 0 $465 0 $300 0 $475
Student, One-Year
Must submit transcript or letter or en rollment 0 $15 0 $63 0 $15 0 $63
Military Rank E-5 or low er 0 $30 0 $78 0 $30 0 $78

Research in Nondestructive Evaluation (RNDE®) Individual Subscription

With Airmail
RNDE® is ASNT’s quarterlyresearch journal. Service Included
Print Subscription - for current volume 0 $55 0 $129
Electronic Subscription - for current volume 0 $55
Print and Electronic Subscription - a savings of $35 0 $75 0 $149
All pricing subject to change. For members outside North America: Unless airmail is specified, all
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 ASNT’s quarterly research journal, RNDE.

Total Membership Amount $ Be sure to complete the questions


Please enter total amount in membership box on the next page.
on page one and add to total.
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 CommercialLabs 0 Pulp/Paper
0 Master's Degree 0 Infrastructure (Roads & Bridges) 0 Railroad
0 DoctorateDegree 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 ComputerSoftware
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 IncomingInspection
0 Technician/Inspector 0 Trainer/Instructor 0 In-service, Plant/Operation Maintenance & Process Control
0 Consultant 0 Student 0 Product Life Extension
0 QA/QCReliability
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 III
0 Training & Study Materials/Programs 0 Level I 0 ACCP Level II
0 Services 0 Level II 0 ACCP Level III
0 I am not involved in purchasing 0 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 NeutronRadiography
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:


Phone614.274.6003 Toll Free 800.222.2768 (US/Canada)

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