You are on page 1of 3

SOCIETY OF PIPING ENGINEERS

& DESIGNERS
President: Jack Belden, SNC-LAVALIN GDS, Inc.
Executive Director/Treasurer: William Beazley (Information Assets)

Professional Piping Designer


Level I Certification Application
Directions: The Professional Piping Designer Level I Certification Application is designed to
ascertain the applicants knowledge and training in the Piping Industry. All
portions of the application must be completed in their entirety to be reviewed
as a candidate for certification. Certification will only be granted upon
completion of the application and receipt of a passing grade of the PPD Level I
Exam and sufficient training and/or work history showing the ability to layout pipe
and create drawings in a CAD system.
Attach a current resume and application fee payment to this application.

Applicant Information:

Date of Application __________________


Month /Day/Year

Name ________________________________________________________________________
Last
First
Middle Initial

SPED OFF
USE ONLY
AP INFO

Y N

Address ______________________________________________________________________
Street
City
State/Province
Zip Country
Employer: ____________________________________________________________________
Address: _____________________________________________________________________
Street
City
State/Province
Zip
Country
Home Phone: ________________________ Business Phone: __________________________
Cell Phone: __________________ Email Address: ___________________________________

Educational History: to include Universities, Colleges, Vocational Training Institutions

ED HIST
H.S.

Y N

High School Diploma: Yes/No


College/University______________________________________________________________

ED HIST
YEARS

City/State/Country_______________________________ Degree ________________________

Mths__
Degreed Awarded : Yes/No

Dates Attended ________________________________

Piping Layout & CAD Course(s)__________________________________________________


9211 West Road, Suite 143-219
Houston, TX 77064

Phone: (832) 286-3404

Web Address: www.spedweb.com


e-mail: spedexec@spedweb.com

Yrs___

Work History: The Work History Section is not in place of the required resume.
Both items are needed to complete the application.

SPED OFF
USE ONLY

Employer_____________________________________________________________________
Address ______________________________________________________________________
Street
City
State/Province
Zip
Country

WORK
HISTORY
YEARS
EMPL ONE

Supervisor Name ________________________________ Phone ________________________

Mths__
Supervisor Email Address _______________________________________________________
Industry _____________________________________ Employment Dates ________________
Piping Skills Used

Yrs____

__________________________________________________________
__________________________________________________________

Piping Software

__________________________________________________________
__________________________________________________________

Employer_____________________________________________________________________

EMPL TWO

Address ______________________________________________________________________
Street
City
State/Province
Zip
Country

Mths__

Supervisor Name ________________________________ Phone ________________________

Yrs____

Supervisor Email Address _______________________________________________________


Industry _____________________________________ Employment Dates ________________
Piping Skills Used

__________________________________________________________
__________________________________________________________

Piping Software

__________________________________________________________
__________________________________________________________

References: If academic transcripts showing required training are not available, please
provide three references to attest to Piping Layout and CAD skills. These
references will be contacted by a SPED Officer for verification purposes.
Industrial Sponsors to SPED training can serve as a sole reference.
REF ONE

Reference One:

Y
Name ______________________________________________________________________

SPED PPD Certification Application

Rev 7/09

Title ___________________________Relationship to Applicant ______________________


SPED OFF
USE ONLY

Company ________________________________________________Phone______________
Address _____________________________________________________________________
Street
City
State/Province
Zip
Country
E-Mail Address ______________________________________
Piping Layout & CAD Work Supervised_________________________________________

Reference Two:

REF TWO

Name ______________________________________________________________________

Title ___________________________Relationship to Applicant ______________________


Company ________________________________________________Phone______________
Address _____________________________________________________________________
Street
City
State/Province
Zip
Country
E-Mail Address _________________________________________
Piping Layout & CAD Work Supervised_________________________________________

Reference Three:
REF THREE

Name ______________________________________________________________________

Title ___________________________Relationship to Applicant ______________________

Company ________________________________________________Phone______________
Address _____________________________________________________________________
Street
City
State/Province
Zip
Country
E-Mail Address ____________________________________________
Piping Layout & CAD Work Supervised_________________________________________

Additional Information/Comments: __________________________________________


____________________________________________________________________________
SIGN/DATE

____________________________________________________________________________

Signature: __________________________________Date: _____________________

SPED PPD Certification Application

Rev 7/09

Y
3