Professional Documents
Culture Documents
Certification Application
ASNT Identification Number
If you have previously been given an ASNT identification number, please enter it in this box:
Personal Data
Home
Work
Home
Work
Name
Last
First
Middle Init.
City
State/Prov.
ZIP/Postal Code
Phone
Fax
City
State/Prov.
ZIP/Postal Code
Phone
Fax
Home
Address
Country
Work
Organization Name
Address
Country
Examination Total
International Mailing Surcharge
Membership Option
Total Fees
$
$
$
-$
$
Payment
Payment must accompany application
Check
Money Order
Discover
Visa
Funds Transfer
MasterCard
American Express
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.
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Examination Information
Location and Dates
Select a location from the online ASNT Examination Schedule (http://www.asnt.org/certification/schedules/index.htm) and enter the
location of the exam here. You may also choose to take your examination(s) at one of
Location:
ASNTS Authorized Examination Centers (AECs) or National Sponsoring Organizations
(NSOs). If you are applying to take your examination at one of those sites, enter AEC or
the NSO site where you wish to examine. AECs and NSOs Centers charge additional
administration fees; check with those organizations to learn those fees.
Examinations Requested
MT
ASNT Member
Exam Fee
Non-Member*
Exam Fee
$260.00
Exam
Date
Exam Time
(AM or PM)
$335.00
Your Fees
$
Exam dates are listed in the ASNT Examination Schedule shown online at http://www.asnt.org/certification/schedules/index.htm.
Examinations for only one test method may be taken in each morning or afternoon session, with a maximum of two (2) examinations
per day at a scheduled test site. If you are applying to take your examination at an AEC, write AEC under Date. You will then
schedule the date and time of your examination directly with the AEC after you receive your Notification of Approval letter from ASNT.
Method
Examinations Requested
ASNT Member
Exam Fee
Non-Member*
Exam Fee
Exam
Date
Exam Time
(AM or PM)
Your Fees
$260.00
$335.00
$260.00
$335.00
$260.00
$335.00
$260.00
$335.00
$260.00
$335.00
MT
PT
RT
UT
VT
Examinations Requested
General
General
General
General
General
Specific:
Specific:
Specific:
Specific:
Specific:
GI
GI
GI
GI
GI
ASNT Member
Exam Fee
Non-Member*
Exam Fee
$130.00/exam
$130.00/exam
$130.00/exam
$130.00/exam
$130.00/exam
$205.00/exam
$205.00/exam
$205.00/exam
$205.00/exam
$205.00/exam
Exam
Date
Exam Time
(AM or PM)
Your Fees
$
$
$
$
$
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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.
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.
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Experience
Photocopy this page as necessary to list your experience history. If submitting experience from more than one
employer, submit experience in reverse chronological order, beginning with your most recent employer in Position 1. 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
Organization Name
Organization Address
City
State/Prov.
ZIP/Postal Code
Phone
Fax
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
Title
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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.
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
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 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.
Signature of Applicant
Date
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Submit Application
Mail
Mail this application, attachments, and fees to ASNT at:
ASNT
1711 Arlingate Lane
P.O. Box 28518
Columbus, OH 43228-0518
USA
Make checks payable to ASNT.
Fax
Or, if paying by credit card, you may fax this application,
attachments, and fees to ASNT at:
614-274-6899
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First Name
M.I.
Former Member:
Home Office
Phone
Yes No
Membership Options
Renewal Member Dues
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
Renewal Member
One-Year
Two-Year
Three-Year
Five-Year
Student, One-Year
Must submit transcript or letter or enrollment
*New Member
Service included
Dues
$65
$125
$180
$290
$15
$30
$113
$209
$294
$465
$63
$78
$75
$135
$190
$300
$15
$30
$123
$219
$304
$475
$63
$78
$55
$55
$75
$129
$149
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Membership Profile
1. Year of Birth
2. Gender
Female
NDT Utilization Business
Aerospace/Aviation/Aircraft
Amusement Rides & Skiing
Automotive
Chemical & Petroleum
Construction
Commercial Labs
Infrastructure (Roads & Bridges)
Electronics
Marine
NDT Supplier Business
Consulting
Distributor/Manufacturer's
Representative
Equipment
Research
Medical
Nuclear
Optical
Ordnance
Pipeline
Pulp/Paper
Railroad
Semiconductor
Utilities
Robotics
Supplies
Training
Computer Software
Computer Hardware
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