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1、Cathodic Protection Certification ApplicationCP 3- Cathodic Protection Technologist(Must be submitted to NACE Headquarters for certification to be processed)Please Note This Is Not A Class Or Exam RegistrationNACE Member: Yes NoMember # Applicants Name:Home Address:Company Name:Company Address:Count
2、ry:Zip/Postal Code:Phone:Home Business Fax E-mail:_ SIGNATURE: DATE: PRINTED NAME: REQUIREMENTS NECESSARY TO ACHIEVE CERTIFICATIONTo achieve this certification, qualified individuals have two options (see each option for prerequisites): CLASSROOM TRAINING CP3-Cathodic Protection TechnoloistorEXAM ON
3、LY OPTION - CP 3-Cathodic Protection Technologist Exam Only APPLICATION PROCEDUREIt is strongly recommended that Exam Only candidates submit a completed application for certification at least 60 days in advance so that work experience requirements and education prerequisites can be verified.RECERTIF
4、ICATION REQUIREMENTSEvery three (3) years. Recertification requires a minimum of 2 years work experience in cathodic protection and 8 hours per year (24 hrs total) of professional development hours. SUBMIT COMPLETED APPLICATION AND SIGNATURE PAGES TO:MAIL TO: NACE INTERNATIONALOR FAX TO: 281-228-631
5、1CERTIFICATION DEPARTMENT1440 SOUTH CREEK DRIVEHOUSTON, TX77084If you have any questions, please contact Marie Newton in our Certification department at 281-228-6211 or by e-mail at marie.newtonnace.org.AFFIRMATIONI affirm that:1. I understand that I am solely responsible for making sure that all ne
6、cessary work experience documentation is complete and submitted in good order to NACE Headquarters.2. I understand that if I knowingly provide, or cause to be provided, any false information in connection with my recognition under the NACE International Training and Certification Program, that it wi
7、ll be grounds for action against my understanding in the program.3. I understand that the names of the categories within the NACE International Cathodic Protection Training and Certification Program are as follows:Highest Level Successfully CompletedCategory NameCP 1 CP1-Cathodic Protection TesterCP
8、 2CP2-Cathodic Protection TechnicianCP 3CP3-Cathodic Protection TechnologistCP 4CP4-Cathodic Protection Specialist4.NACE has a firm policy regarding the use of its logos and certification numbers and titles. The certification number and category title may be used only by NACE CP 1-Cathodic Protectio
9、n Testers, NACE CP 2-Cathodic Protection Technicians, NACE CP 3-Cathodic Protection Technologists, and NACE CP 4-Cathodic Protection Specialists, and may not be used by any other persons.All active CP card holders are permitted to use the term “NACE CP 1-Cathodic Protection Tester,” “NACE CP 2-Catho
10、dic Protection Technician,” “NACE CP 3-Cathodic Protection Technologist,” or “NACE CP 4-Cathodic Protection Specialist” (whichever level of recognition attained) and their certification number on business cards. This example illustrates how this information can be used by a NACE CP 1-Cathodic Protec
11、tion Tester.John SmithNACE CP 1-Cathodic Protection Tester, Cert. No. 9650ACE Inspections, Inc., Knoxville, TNNACE CP 1-Cathodic Protection Testers, NACE CP 2-Cathodic Protection Technicians, NACE CP 3-Cathodic Protection Technologists, and NACE CP 4-Cathodic Protection Specialists who are members i
12、n good standing of NACE International may display the NACE Logo for the purpose of identifying the individual as having achieved a NACE Certification.I understand that violation of these rules will result in action against my standing in the program on the basis of violation of the NACE Internationa
13、l Cathodic Protection Program Attestation.5.I (re)affirm the NACE International Cathodic Protection Certification Program attestation and agree to abide by its provisions as long as I hold any level of recognition under the program.Signed:Date:THIS DOCUMENT MUST BE SIGNED AND RETURNED WITH APPLICATI
14、ONRETAIN A COPY OF THIS DOCUMENT FOR YOUR RECORDSATTESTATIONI hereby:(1)Recognize and acknowledge that the proper control of cathodic protection can be critical to the safety and welfare of the general public and industrial facilities.(2)Recognize and acknowledge that the control of cathodic protect
15、ion is obligatory to maximize conservation of our material resources, to reduce economic losses, and to protect the environment.(3)Recognize and acknowledge that the entire field of cathodic protection and its control encompasses the application of the knowledge and experience of many diverse disciplines and levels of technical competence which must often be consulted.(4)Recognize and acknowledge that only through continual association and cooperation with others in this field can the
