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ASNT NDT Level III

Certification 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 7 for more information.

Basic Examination Total From page 2


Method Examination Total From page 2
Take advantage of member pricing now by completing the membership application
Membership Option
on pages 7 and 8 and include the total here.
Total Due

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.
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 (by points), you must use the ASNT Level III
Renewal Application.

Schedule Exams
All exams will be computer based unless otherwise specified. 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.
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.

Basic Examinations
To become certified as an ASNT NDT Level III, the NDT Basic examination and at least one Method examination must be passed.
First time applicants must take the Basic and at least one Method examination. Once certification is achieved, additional methods may
be added without retaking the Basic examination. If all certifications lapse, the Basic examination and the Method examination(s) must
be retaken to regain certification.

Fees for Candidates in the United States

Initial and Recertification Retake of Failed Exam


Non-
ASNT Member Non-Member ASNT Member Member
Examination*** Fee Fee** Fee Fee**
NDT Basic Exam* $450 $525 $385 $460

Total for Basic


Non-
ASNT Member Non-Member ASNT Member Member
Fee Fee** Fee Fee**
Acoustic Emission Testing (AE) $450 $525 $385 $460
Electromagnetic Testing (ET) $450 $525 $385 $460
Infrared/Thermal (IR) $430 $505 $365 $440
Leak Testing (LT) $450 $525 $385 $460
Magnetic Flux Leakage (ML) $430 $505 $365 $440
Magnetic Particle Testing (MT) $430 $505 $365 $440
Neutron Radiographic (NR) $450 $525 $385 $460
Liquid Penetrant Testing (PT) $430 $505 $365 $440
Radiographic Testing (RT) $450 $525 $385 $460
Ultrasonic Testing (UT) $450 $525 $385 $460
Visual Testing (VT) $430 $505 $365 $440

Total for Methods

* NDT Basic is required for the initial ASNT NDT Level III Certification
**You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your membership with this application.
*** Exam Sitting Fee that was previously collected at the Authorized Exam Center at time of examination is now being collected at time of application and is
included in the exam fee.

See the Table on the next page for International rates.


Fees for International Candidates

Initial and Recertification Retake of Failed Exam


Non-
ASNT Member Non-Member ASNT Member Member
Examination*** Fee Fee Fee Fee
NDT Basic Exam* $490 $565 $425 $500

Total for Basic


Non-
ASNT Member Non-Member ASNT Member Member
Fee Fee Fee Fee
Acoustic Emission Testing (AE) $490 $565 $425 $500
Electromagnetic Testing (ET) $490 $565 $425 $500
Infrared/Thermal (IR) $470 $545 $405 $480
Leak Testing (LT) $490 $565 $425 $500
Magnetic Flux Leakage (ML) $470 $545 $405 $480
Magnetic Particle Testing (MT) $470 $545 $405 $480
Neutron Radiographic (NR) $490 $565 $425 $500
Liquid Penetrant Testing (PT) $470 $545 $405 $480
Radiographic Testing (RT) $490 $565 $425 $500
Ultrasonic Testing (UT) $490 $565 $425 $500
Visual Testing (VT) $470 $545 $405 $480

Total for Methods

* NDT Basic is required for the initial ASNT NDT Level III Certification
**You may take advantage of ASNT Member pricing now by becoming an ASNT member or renewing your membership with this application.
*** Exam Sitting Fee that was previously collected at the Authorized Exam Center at time of examination is now being collected at time of application and is
included in the exam fee.

See the Table on the previous page for Domestic rates.


Education & Experience Requirements
ASNT Level III applicants must satisfy one of the following eligibility criteria:

• Graduated from a minimum four-year college or university curriculum with a degree in engineering or a physical
science, plus one year (12 months) of experience in nondestructive testing in an assignment comparable to that of
an Level II in the applicable test method(s), as defined in ASNT’s Recommended Practice No. SNT-TC-1A, latest
edition; OR
• Completed with passing grades at least two full academic school years of engineering or a physical science study
at a university, college, or technical school, plus two years (24 months) of experience in nondestructive testing in
an assignment comparable to that of an Level II in the applicable test method(s), as defined in ASNT’s
Recommended Practice No. SNT-TC-1A, latest edition; OR
• Four years (48 months) of experience in an assignment at least comparable to that of an Level II in the applicable
test method(s), as defined in ASNT’s Recommended Practice No. SNT-TC-1A, latest edition.

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 information new since the last application.

Education
You must attach documentation for education if you are using post-secondary education to meet the Education and
Experience Requirements. Copies of diplomas or transcripts are acceptable. All documentation must be in English or
accompanied by an English translation.

Level of Post-Secondary List the name and address of the institution where your highest level of
Education education was obtained as it relates to your ASNT Certification.

Not Applicable
Institution Name
2 or more years of
College in Engineering
or Science Address
2-year Technical/College
Degree

4-year College Degree


Major Course of Study

Degree
Experience – This section must be filled out.
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. Only
submit the attestation for your latest certifying employer.

You must supply documentary evidence of Initial Level II or equivalent experience (as described in ASNT’s Recommended Practice
SNT-TC-1A, paragraph 6.3)
to meet the minimum experience requirements in the method(s) for which you are applying.

You are required to submit documentation supporting your work experience. Acceptable documentation can include:
inspection log books, inspection reports, employer or third-party certificates or certification records, human resources records, or,
for self-employed personnel, signed statements from at least two (2) customers. All documentation must be in English or
accompanied by an English translation.

Supporting documents MUST state: Other supporting documents that are NOT accepted:
1. Level of qualification or Level II job duties 1. Certificate of Training / Non-employer issued qualifications
2. Number of months working as a Level II 2. Level I certificates

Name
First Middle Last ASNT ID
Position # Dates of Employment
Start Date End Date Total Time (Months)

Organization Name

Employer/Customer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

List experience (months performing work with Level II qualifications) by method as related to above employer.
Dates of initial Level II Certification for each method:

AE ___ # of months IR ___ # of months LT ___ # of months RT ___ # of months ML ___ # of months VT ___ # of months
ET ___ # of months NR ___ # of months PT ___ # of months UT ___ # of months MT ___ # of months
NOTE: 1 month is equivalent to 160 hours

Document the experience gained as a Level II related to the above employer and list the document(s) that are
attached to this application providing evidence of Level II certification.
Attached Documents:

Method Technique Industry Application Role Dates

Example:
UT Shearwave Refining ASME V, Pipe & vessel welds Level II Tech 1-21-15 1-21-17
ASNT Level III Experience and Attestation Form - 01MAR2018
Statement of Attestation – This form must be filled out.
Submit this attestation from the employer in which the latest certification was attained. A minimum of 2 signatures shall be
provided for certification. The following signed statement attests to the accuracy and validity of the documentary evidence
submitted for certification. As an Employer, Level III, NDT Supervisor or Customer, I have reviewed the documentation and
understand that any misrepresentation would be considered a breach of the ASNT Code of Ethics.
Employer – A management level representative of the company having direct knowledge of the applicant’s duties and being
familiar with the company’s certification process.
Certifying Level III or NDT Supervisor – The Level III directly responsible for the certification of the applicant. May be an ASNT
III, ACCP III, Company III, Responsible III, Level III of Record or 3 rd Party Level III. When working in a position comparable to
that of a Level II, the NDT Supervisor is the person most responsible for direction of the day to day work of the applicant.
Customer (Self-Employed Only) – Must be a customer having direct knowledge of the applicants inspection duties and abilities.
Customer attests that the applicant has performed testing in the method applied for during the specified time period.

Position #

EMPLOYER CUSTOMER

Name: Name:

Title: Title:

Relationship Relationship
To Applicant: To Applicant:

Dates Covered: Dates Covered:

Email: Email:

Phone: Phone:

ASNT ID (if applicable): ASNT ID (if applicable):

Signature: Signature:

CERTIFYING LEVEL III or NDT SUPERVISOR CUSTOMER

Name: Name:

Title: Title:

Relationship Relationship
To Applicant: To Applicant:

Dates Covered: Dates Covered:

Email: Email:

Phone: Phone:

ASNT ID (if applicable): ASNT ID (if applicable):

Signature: Signature:

ASNT Level III Experience and Attestation Form - 01MAR2018


Experience – This section must be filled out.
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. Only
submit the attestation for your latest certifying employer.

You must supply documentary evidence of Initial Level II or equivalent experience (as described in ASNT’s Recommended Practice
SNT-TC-1A, paragraph 6.3)
to meet the minimum experience requirements in the method(s) for which you are applying.

You are required to submit documentation supporting your work experience. Acceptable documentation can include:
inspection log books, inspection reports, employer or third-party certificates or certification records, human resources records, or,
for self-employed personnel, signed statements from at least two (2) customers. All documentation must be in English or
accompanied by an English translation.

Supporting documents MUST state: Other supporting documents that are NOT accepted:
1. Level of qualification or Level II job duties 1. Certificate of Training / Non-employer issued qualifications
2. Number of months working as a Level II 2. Level I certificates

Name
First Middle Last ASNT ID
Position # Dates of Employment
Start Date End Date Total Time (Months)

Organization Name

Employer/Customer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

List experience (months performing work with Level II qualifications) by method as related to above employer.
Dates of initial Level II Certification for each method:

AE ___ # of months IR ___ # of months LT ___ # of months RT ___ # of months ML ___ # of months VT ___ # of months
ET ___ # of months NR ___ # of months PT ___ # of months UT ___ # of months MT ___ # of months
NOTE: 1 month is equivalent to 160 hours

Document the experience gained as a Level II related to the above employer and list the document(s) that are
attached to this application providing evidence of Level II certification.
Attached Documents:

Method Technique Industry Application Role Dates

Example:
UT Shearwave Refining ASME V, Pipe & vessel welds Level II Tech 1-21-15 1-21-17
ASNT Level III Experience and Attestation Form - 01MAR2018
Experience – This section must be filled out.
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. Only
submit the attestation for your latest certifying employer.

You must supply documentary evidence of Initial Level II or equivalent experience (as described in ASNT’s Recommended Practice
SNT-TC-1A, paragraph 6.3)
to meet the minimum experience requirements in the method(s) for which you are applying.

You are required to submit documentation supporting your work experience. Acceptable documentation can include:
inspection log books, inspection reports, employer or third-party certificates or certification records, human resources records, or,
for self-employed personnel, signed statements from at least two (2) customers. All documentation must be in English or
accompanied by an English translation.

Supporting documents MUST state: Other supporting documents that are NOT accepted:
1. Level of qualification or Level II job duties 1. Certificate of Training / Non-employer issued qualifications
2. Number of months working as a Level II 2. Level I certificates

Name
First Middle Last ASNT ID
Position # Dates of Employment
Start Date End Date Total Time (Months)

Organization Name

Employer/Customer Contact Name

Organization Address

City State/Prov. ZIP/Postal Code Country

Phone Fax Email

List experience (months performing work with Level II qualifications) by method as related to above employer.
Dates of initial Level II Certification for each method:

AE ___ # of months IR ___ # of months LT ___ # of months RT ___ # of months ML ___ # of months VT ___ # of months
ET ___ # of months NR ___ # of months PT ___ # of months UT ___ # of months MT ___ # of months
NOTE: 1 month is equivalent to 160 hours

Document the experience gained as a Level II related to the above employer and list the document(s) that are
attached to this application providing evidence of Level II certification.
Attached Documents:

Method Technique Industry Application Role Dates

Example:
UT Shearwave Refining ASME V, Pipe & vessel welds Level II Tech 1-21-15 1-21-17
ASNT Level III Experience and Attestation Form - 01MAR2018
Application 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. Failure to take examinations within that one-year period will result in forfeiture of all fees to ASNT.
For computer based testing exams, exams can be rescheduled and cancelled 48 hours prior to the appointment without any additional
fees. If you cancel within 48 hours, then the sitting fee portion of your fees plus a $75 administrative fee per exam will apply.
For Practical 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.
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. Membership Fees are non-refundable and non-transferable.

Statements and Signature


By signature on this application, if certified by ASNT, I agree to abide by process. I have read and understand the transfer, cancellation and
the Code of Ethics for Level III Personnel Certified by ASNT so long as I refund policy and understand that all application documents submitted to
maintain a Certificate. Further, I understand the right of ASNT to ASNT become the property of ASNT.
suspend or revoke any Certificate granted if I abuse the privileges
therein granted to me. I agree not to release confidential examination materials or participate in
fraudulent test-taking practices.
I understand that certifications which may result from this application do
not constitute any form of license. 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).
I hereby attest that all facts on this application are true and correct and Failure to do so may result in the suspension or revocation of my
no information which might be detrimental has been withheld. ASNT may certification(s) by ASNT.
make any inquiries necessary to determine my qualifications for
certification. I agree to abide by the decision of ASNT relative to the I authorize ASNT to publish my name, city, state, country, test methods,
granting of any Certifications as applied for herein. levels, expiration dates of certification(s) and any possible suspension or
revocation of certification(s) by ASNT.
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 Signature of Applicant
account of the undersigned’s activities henceforth as Level III certified by
ASNT.

The undersigned further acknowledges that this release is being given as Print Name of Applicant
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. Date
and any and all agents of ASNT in connection with such certification

Submit Application
Mail
Mail this application, attachments, and fees to ASNT at:
Online Submit your documentation
and fees securely on ASNT Website
Start Your Application Process Here ASNT
1711 Arlingate Lane
Columbus, OH
43228-0518 US

Make checks payable to ASNT.

Please do not submit your application more than once.


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
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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 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 Fem ale
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 Diplom a 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 Sem iconductor
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 Com puter 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 Incom ingInspection
0 Technician/Inspector 0 Trainer/Instructor 0 In-service, Plant/Operation Maintenance & Process Control
0 Consultant 0 Student 0 Product Life Extension
0 QA/QCReliabilit y
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 Equipm ent/Instruments/Supplies 0 None 0 ASNT NDT Level III
0 Training & Study Materials/Program s 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 Em ission 0 Magnetic Flux Leakage
0 Alternating Current Field Measurem ent 0 Magnetic Particle
0 Electromagnetic/Eddy Current 0 NeutronRadiograph y
0 Ground Penetrating Radar 0 Radiograph y
0 Infrared & Therm al 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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