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Asnt NDT Level Ii Certification Application: ASNT Identification Number Personal Data

This document is an application for ASNT NDT Level II certification. It requests personal information from applicants and lists fees, requirements, and procedures for scheduling exams in different non-destructive testing methods. Applicants must provide documentation showing they meet minimum requirements for training, experience, and adhere to a code of ethics.
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0% found this document useful (0 votes)
284 views10 pages

Asnt NDT Level Ii Certification Application: ASNT Identification Number Personal Data

This document is an application for ASNT NDT Level II certification. It requests personal information from applicants and lists fees, requirements, and procedures for scheduling exams in different non-destructive testing methods. Applicants must provide documentation showing they meet minimum requirements for training, experience, and adhere to a code of ethics.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ASNT NDT Level II

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

Personal Data

Mail certification information to:

Hom e

Work

Mail membership material to:

Hom e

Work

__ Mr _ _Miss __ Mrs

Ms

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 as it appears on your identification.

I ndicat e yo ur La st Na me ( Sur na me or F a mily Na me) b y en terin g in c api tal le tt ers , i. e. , Jo hn SMIT H

Home
Address

City

State/Prov.

Phone

Fax

ZIP/Postal Code

Country

ZIP/Postal Code

Country

Work
Organization Name

Address

City

State/Prov.

Phone

Fax

Fees All fees are in US dollars.


Method Examination Total

From page 2

International Mailing Surcharge

Add for all Non-US Residents $40

Membership Option

Take advantage of member pricing now by completing the


membership application on pages 7 and 8 and include the total
here.

Total Due

Payment
Payment must accompany application
Check
Money Order

Discover
Visa

Funds Transfer

MasterCard

Make the above


payable to ASNT
(must be drawn
on a US bank)

American Express

Personal Credit Card

Company Credit Card

Card Holders Signature:


Card Holders Name (print):
Credit Card Number:
Credit Card Billing Address:
Expiration Date

CIN* Number

*CIN (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.

App-lii-2 Rev 5/11/2016

Method or Discipline Selection


Please apply for the method or discipline that you are seeking certification. Note: This application is valid for initial certification
and for recertification by examination. To renew without further examination, you must use the ASNT Level II Renewal Application.

Schedule Exams
Domestically, all exams will be c o m p u t e r b a s e d u n l e s s o t h e r w i s e s p e c i f i e d . After you have been approved, paid all application
and exam sitting fees, you will receive email notification and instructions to schedule you exam. Examination sitting Fees are now collected with the
application instead at the time of scheduling.
To apply for an exam to be taken outside the United States, enter the date and time when youd like to take the exam.
Exam dates are listed in the ASNT Examination Schedule. Only one examination may be taken in a session. You may take a maximum
of two (2) examinations per day at a scheduled test site.
Check a box indicating if this is a new or added method, a retake of an exam that you failed within the last five years, or a
recertification exam if you are currently certified in the method. You may request accommodations during testing for special needs by
contacting ASNT.

Fees, Initial Certification


ASNT NDT Level II candidates applying for initial certification MUST take both the General examination AND a General Industry Specific
examination for each test method in which certification is sought.
In the table below, check the boxes for the examinations you wish to take and place the appropriate fee amount in the "Your Fees"
column. When finished, total your fees and place them in the Fees column on page 1 of the application.
Method
(Includes both General and
Specific Exams)

ASNT
Members

NonMembers**

New

New

$260

$335

Exam Sitting
Fee

MT General Industry
MT-Pressure Equipment

$300

PT General Industry

$300

PT- Pressure Equipment

$300

RT- General Industry

$300

RT Pressure Equipment

$300

UT General Industry

$300

UT- Pressure Equipment

$300

VT- General Industry

$300

VT-Pressure Equipment

$300

Enter Location
(if taking outside the US)

$300

Total

App-lii-2 Rev 5/11/2016

Total Fee
(include sitting fee if
taking at US location)

Retakes and Industry Sector Add-Ons


Personnel retaking failed examinations or adding an Industry Sector should select their examinations from the table below. Initial
Certification candidates may NOT use this table; they should use the table above.

Method (Includes
both General and
Specific exams)

MT General
MT PE
MT GI
PT General
PT PE
S
ifi
PT GI
RT General
RT PE
RT GI
UT General
UT PE
UT GI
VT General
VT PE
VT GI

ASNT Members

Non-Members**

Retake

Retake

$130

$175

Exam
Sitting Fee

Enter Location
(if taking outside the US )

$150
$150
$150
$150
$150
$150
$150

$150
$150
$150
$150
$150
$150
$150
$150
Total

* You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your
with this application. An ASNT Membership application is attached on pages 7 & 8 of this application.

App-lii-2 Rev 5/11/2016

membership

Total Fee
(include sitting fee if
taking at US location)

Minimum Training Requirements


Use this table to find the minimum training required for ASNT NDT Level II certification in each method. Enter the amount
of training you are claiming to meet the requirements.

Training

MT

PT

RT

UT

VT

Hours Required

20

12

80

80

24

Hours Claimed

You must attach documentation for the minimum required amount of training required. Attach copies of
training certificates, letters of completion, or company training records. A signed statement attesting to completion of
training from a company executive, an individual responsible for training, or an ASNT Level III or ACCP
Professional Level III is also acceptable if it clearly lists training hours for each test method in which certification is
sought. All documentation must be in English or accompanied by an English translation.

Minimum Experience Requirements


The table below lists the minimum experience required for ASNT NDT Level II certification in each test method. Enter the
amount of experience you are claiming to meet the requirements. Use the next page to document the individual
positions in which experience was obtained.
Total hours in method experience shall be based on the actual hours worked in the specific method. Total hours in
method must be met for each method when applying for more than one method.

Experience
Total Hours
Hours
Required

in Method

Total Hours
in NDT

MT

PT

RT

UT

VT

280

210

840

840

210

530

400

1600

1600

400

Total Hours
Hours
Claimed

in Method

Total Hours
in NDT

If you do not satisfy the above criteria for the method(s) in which you are applying, please do not submit an
application. Applications received from ineligible applicants will be returned to the applicant in accordance with the
Transfer / Cancellation / Refund Policy. It is your responsibility to determine your own eligibility.
Each time a new examination is attempted, you must supply documentary evidence of education and experience
appropriate for that examination. Do not rely on past applications to meet this requirement.
Recertifying and retaking personnel need only submit documentation for experience gained since the last application.

NOTE: It is the responsibility of the employer to administer an eye test and a Practical
examination in accordance with Recommended Practice No. SNT-TC-1A to
complete certification to NDT Level II.

App-lii-2 Rev 5/11/2016

Experience
List in chronological order all employment you wish ASNT to consider as qualifying experience with most recent (including
present employer) position first. Use a separate form for each employer from which you are submitting qualifying
experience.
The ASNT NDT Level II program requires sufficient NDT experience to meet the minimum experience requirements
in the method(s) for which you are applying. Acceptable documents include employer or third-party certificates or
certification records, human resources records, a signed statement from the employer or responsible Level III, a
signed statement from an ASNT Level III or ACCP Professional Level III, or, for self-employed personnel, signed
statements from at least two (2) customers. The signature form below may be used for signed statements. All support
documentation must be in English or accompanied by an English translation.

Name
First, Middle, Last

ASNT ID

Position #

Dates of Employment:
Start Date

End Date

Total Time (Months)

Organization Name

Organization Address

City

State/Prov.

ZIP/Postal Code

Phone

Fax

Email

Country

Check methods below where NDT job functions were performed by the candidate named above and indicate the number
of hours claimed for each.
MT
Hours

PT
Hours

RT
Hours

UT
Hours

VT
Hours

Briefly describe below the NDT tasks the candidate named above performed at this location for each of the methods
checked. List the document(s) that are attached to this application as evidence of this engagement.

Statement Option
As the above named candidates employer or a designated and responsible agent of the above named candidates
employer or as a customer of the candidate, I confirm that the information given above is true and correct.

Employer/Agent/Customer Signature

Date

Employer/Agent/Customer Name (print)

ASNT ID # (if applicable)

Title

App-lii-2 Rev 5/11/2016

Code of Ethics for NDT Level II Personnel Certified by ASNT


1.0 Purpose
The following Code of Ethics is binding upon every individual who
possesses a current ACCP or ASNT NDT Level II Certification.
These rules are necessary to protect the life, health, property and
welfare of the public, and to maintain the credibility of the ASNT
Central Certification Program, the ASNT NDT Level II program and
the NDT profession. Accordingly, each ACCP or ASNT NDT
Level II certified individual agrees to abide by the following:

2.0 Code of Ethics


2.1 Responsibility: Protect the safety, health and welfare of the public,
by performing all NDT activities to the best of his/her ability in
accordance with properly established and approved procedures and
only in situations for which qualified.

of NDT activities shall faithfully and accurately reflect the tests


conducted, procedures used, and results obtained.
2.3 Conflict of Interest: Consciously avoid conflict of interest situations
with employer or client, promptly informing same if such situations
cannot be avoided.
2.4

Improper Conduct: Refrain from work activities outside the area of


certification without written approval of his/her supervisor.

2.5 Safety: Act in a safe and responsible manner while conducting


NDT activities, ensuring that all required and necessary safety
procedures are in place and are being used by ones self and others
under his/her jurisdiction.

3.0 Penalty
Violation of this Code of Ethics by any ACCP or ASNT NDT Level
II certificate holder may be cause for disciplinary action against that
person which may result in sanctions up to revocation of ASNT
certification.

2.2 Integrity: Perform all NDT activities honestly, and treat the public,
clients and employer in an impartial and ethical manner. All reports

Statements and Signature


By signature on this application, if certified by ASNT, I agree to abide by
the Code of Ethics for Level III Personnel Certified by ASNT 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 transfer, cancellation and
refund policy and understand that all application documents submitted to
ASNT become the property of ASNT.
I agree not to release confidential examination materials or participate in
fraudulent test-taking practices.
I understand that I am required to inform ASNT of matters that affect my
capability to continue to fulfill the requirements of my certification(s).
Failure to do so may result in the suspension or revocation of my
certification(s) by ASNT.
I authorize ASNT to publish my name, city, state, country, test methods,
levels, expiration dates of certification(s) and any possible suspension or
revocation of certification(s) by ASNT.

Signature of Applicant

Print Name of Applicant

Date

Transfer / Cancellation / Refund Policy


All ASNT examinations are required to be taken within one calendar
year from the date on the original Letter of Notification or Letter of
Approval sent to the applicant. One transfer is permitted within that
year, subject to the administrative fees detailed below. Failure to take
examinations within that one-year period will result in forfeiture of all fees
to ASNT.
For exams that will be taken in the United States through the
computer based testing, can be rescheduled and cancelled within 24
hours prior to the appointment. For paper and pencil exams, the
transfer or cancellation deadline is two (2) calendar weeks prior to the
week of a scheduled examination. Transfers or cancellations received
before the deadline will be subject to a $75.00 administrative fee PER
EXAMINATION.
A transferring applicant must remit those administrative fees to
ASNT by the application deadline for the rescheduled examination. No
examination attendance will be permitted unless all fees are paid.
Canceling applicants will receive a refund less all administrative
fees.
App-lii-2 Rev 5/11/2016

No transfers or cancellations will be accepted after the above


transfer deadline. Failure to show up (No Shows)
for scheduled
examinations will result in forfeiture of the fees for the missed
examinations.
If an examination application is received and the applicant is found to
be unqualified to take the examination, a refund will be issued less
an administrative fee of $75.00 PER EXAMINATION. All Exam sitting
fees will be refunded.
All requests for transfers or cancellations must be submitted in
writing to ASNT and be signed by the person registered for the
examination. A signed fax transmittal is acceptable.
The International

Surcharge

and

Membership

/ Administrative

Fees are non-refundable and non-transferable.


No exceptions will be made to the above policy.

Submit Application
Online: Submit your documentation and fees securely on ASNT Website
https://www.asnt.org/MajorSiteSections/Certification/AppStart?pt=n2&st=new
(Online submittal- fees pay be credit card, check or wire)

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 [email protected]


No Application will be reviewed until all fees are paid.
MAIL
Mail this application, attachments, and fees to ASNT at:

ASNT
1711 Arlingate Lane
P.O. Box 28518 Columbus, OH 43228-0518 US
Make checks payable to ASNT.
Please do not both mail and fax your application.

App-lii-2 Rev 5/11/2016

ASNT Individual Membership Application & Renewal Form


Member Information
Last Name

First Name

Send Membership Materials to:

Home

M.I.

Former Member:

Office

Join now for immediate and significant savings on


examination fees. Save $75 per method.

Phone

Yes

No

Access to the largest network of NDT contacts and businesses


worldwide
Materials Evaluation, the authoritative monthly journal on NDT

Earn recertification points for ASNT membership.

Local Section affiliation, provides educational and business


networking opportunities

Align with your certification period and consider joining


for five years to receive maximum savings.

The quarterly newsletter for NDT practitioners:


The NDT Technician

There is no better network for you to be connected when it


comes to your NDT career.

Recertification points for membership


Discounts on national conferences and symposium
registration

Stay informed throughout your certification period by


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


technology in addition to savings on certification exams.

Serve on ASNT committees; be part of a group that may effect


change or the industry

ASNT membership includes:


25% discount on all items purchased from our
Publications Catalog or Shop ASNT online at www.asnt.org

Become part of the foremost nondestructive testing


society and be fully connected to the NDT world.

Membership Options
Renewal Member Dues

New Member Dues

To qualify to pay as a renewing member, your membership expiration date must


be within six months.

New members are those joining ASNT for the first time or members having more than a
six month gap since expiration. Such rejoining members are subject to new member rate.

Dues

*Dues with Airmail

*New Member

*Dues with Airmail

Service included

Dues

Service included

Renewal Member
One-Year
Two-Year
Three-Year
Five-Year
Student, One-Year
Must submit transcript or letter or en rollment

Military Rank E-5 or low r

0
0
0
0
0
0

$65
$125
$180
$290
$15
$30

0
0
0
0
0
0

$113
$209
$294
$465
$63
$78

All pricing subject to change.

0
0
0
0
0
0

0
0
0
0
0
0

$75
$135
$190
$300
$15
$30

$123
$219
$304
$475
$63
$78

Dues include subscriptions to


Materials Evaluation and
The NDT Technician.
For members outside
North America: Unless airmail
is specified, all materials will be
sent sea/surface mail; allow 3-4
months for delivery.
*Airmail service is restricted by
availability or cost; airmail may
not be offered to your country.
You will be contacted if service
cannot be provided.

New member dues include a one-time $10 administration fee


Dues are nonrefundable, nontransferable. Dues include subscription to Materials Evaluation and The NDT Technician.

Research in Nondestructive Evaluation (RNDE) Individual Subscription


With Airmail
Service Included

RNDE is ASNTs quarterly research journal.

0 $55
0 $55
0 $75

Print Subscription - for current volume


Electronic Subscription - for current volume
Print and Electronic Subscription - a savings of $35

0 $129
0 $149

All pricing subject to change.

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.

App-lii-2 Rev 5/11/2016

Add a subscription to ASNTs


quarterly research journal,
RNDE.

Membership Profile
1. Year of Birth
2. Gender

9. Choose the one business segment that best


describes your company. (select only one)
0 Male

0 Female
NDT Utilization Business

0 Aerospace/Aviation/Aircraft
0 Amusement Rides & Skiing
0 Automotive
0 Chemical & Petroleum
0 Construction
0 Commercial Labs
0 Infrastructure (Roads & Bridges)
0 Electronics
0 Marine

3. Highest Education Level


0 Grades 1 - 12
0 High School Diploma
0 Some College
0 2-Year Associate Degree
0 4-Year Undergraduate Degree
0 Master's Degree
0 Doctorate Degree
4. Years of Experience in NDT

01-5 06-10

011-15

016-20

021 & over

NDT Supplier Business


0 Consulting

0
0
0
0

5. Number of people involved with NDT at


your company

01-5 06-20

021-50

051-100

0 over 100

Distributor/Manufacturer's
Representative
Equipment
Research

0
0
0
0
0
0
0
0
0

Medical
Nuclear
Optical
Ordnance
Pipeline
Pulp/Paper
Railroad
Semiconductor
Utilities

0
0
0
0
0

Robotics
Supplies
Training
Computer Software
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
(select only one)
I recommend/approve the purchase of:
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

App-lii-2 Rev 5/11/2016

Toll Free 800.222.2768 (US/Canada)

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