Form 720 16 PDF Details

In the meticulous journey toward achieving professional certification as a pipefitter or steamfitter, the Form 720-16 serves as a crucial milestone. This comprehensive form not only facilitates the application process for the NITC Journey Level Pipefitter/Steamfitter Certification Examination but also delineates the stringent criteria required for eligibility. Candidates are given the option to affirm their current enrollment in an apprenticeship program or their intent to undertake the exam upon completing their instructional course directly at the site or at a designated PSI center. Significantly, the form mandates a demonstration of at least four years of experience in the pipefitter/steamfitter industry, or an equivalent duration in a recognized training program, underpinning the importance of substantial practical experience. By mandating documentation to verify this experience and setting forth a solemn affirmation to uphold truthfulness and integrity, the form underscores the rigorous standards upheld by the NITC Certification Committee. Moreover, the application encapsulates rules and regulations certification holders must adhere to, thus emphasizing the professional and ethical standards expected. The process is streamlined with options for payment, showing a flexibility in accommodating the candidates’ needs. Through outlining the procedural steps and providing a gateway to the Candidate Information Bulletin for further guidance, the 720-16 form stands as a testament to the meticulous preparation required for those aspiring to be certified in this specialized field.

QuestionAnswer
Form NameForm 720 16
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesFILE002_Form720 16Rev _FitterApplication rental application form california doc rental agreement lease

Form Preview Example

Application for NITC Journey Level

Pipefitter/Steamfitter Certification Examination

Journeyman

or Apprentice

Please choose one for I.D. card: Pipefitter

Steamfitter

I am currently enrolled in an apprenticeship program.

I will be taking this exam at the instruction site upon completion of my course of instruction.

I will be taking this exam at a PSI center. (Provide method of payment below).

I have a minimum of four (4) years experience in the Pipefitter/Steamfitter Industry

I have completed four (4) years in a recognized training program.

I have read the Candidate Information Bulletin for NITC Journey Level Fitter Examination.

First Name

 

M.I.

 

Last Name

 

 

 

SS# (Last Six)

 

 

 

 

 

 

 

 

 

Street Address

 

City

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

Home Phone

 

Work Phone

 

Cell/Other Phone

 

 

 

 

 

 

 

 

 

Training Course Location

 

 

 

Training Course Date

 

Name of Instructor

 

 

Local Union # (If Applicable)

List your present or most recent employer first. You must attach documentation for your required four (4) years of experience in the Pipefitter/Steamfitter industry. Acceptable documentation: letters from employers, employment history, certification records, state license(s) and any other employment records. (Phone numbers are required for verification.)

Employer, City & Phone #

From

To

 

 

 

 

 

 

 

 

 

I do solemnly swear or affirm that the above statements are true. I further realize that falsification of these statements shall be cause for disqualification. By affixing my signature to this application I agree to abide by the following rules and regulations of certification holders as set forth by the NITC Certification Committee. As a holder of an NITC Certification I agree to not make any false claims about the scope of my certification(s); I agree to not utilize an NITC certification in any manner that portrays NITC unfavorably; and furthermore, I agree to not engage in false or misleading advertising of my NITC Certification. I understand that NITC reserves the right to suspend or revoke my certification should I violate these obligations. Should my certification be revoked, I agree to cease and desist any and all references to being the “holder” of an NITC Certification and shall return any certificates, including wallet sized photo identification cards to NITC.

I agree to not utilize any written documents, reports, procedures, etc., with the NITC certification mark in any manner whatsoever that may be inaccurate or false.

I understand and agree that my examination results may be shared with the course instructor, training coordinator or training entity.

Signature of Applicant:

 

 

 

 

Date:

 

 

 

 

 

 

 

Method of Payment

 

 

 

 

 

 

 

 

 

(**Required Fields for credit card payments**)

 

 

 

 

 

*Total Amount Enclosed: $

 

Check

Money Order

Visa

Master Card

AMEX

*Credit Card No:

 

 

 

 

*Expiration Date:

 

 

 

*CVV2: Last three or four digits on back of Visa and Master Card, Amex CVV2 on front of card.

*Credit Card “Billing Address”:

 

 

 

*Credit Card “Billing Address” Zip Code:

 

*Name on Card:

 

*Signature:

 

As it appear on card (Please Print)

 

 

 

Signature as shown on credit card

Form # 720-16 Rev 12-03-12 (NITC Fitter Application).doc

1

 

 

 

www.nationalitc.com

Information Sheet for NITC Journey Level

Pipefitter/Steamfitter Certification Examination

TO QUALIFY FOR THIS CERTIFICATION candidate must have a minimum of four (4) years experience in the pipefitter/steamfitter industry. Completion of a recognized apprenticeship program or proof of four (4) years experience from employers is required.

A Candidate Information Bulletin has been developed to help ensure your success. Since the information contained in each section of the Bulletin will answer many of the questions you might have, it is required reading prior to proceeding with this application. Download a copy from www.nationalitc.com or call (877) 457-6482 to request a copy.

THE EXAMINATION FEE is One Hundred Thirteen Dollars ($113.00). This must be prepaid. Please make check or money order payable to NITC. Visa, Master Card or American Express are also accepted. The method of payment must be attached at the time of submission; or contact NITC to provide credit card payment information by phone at (877) 457-6482. For NITC No-Show, Reschedule, Cancellation and Refund Policy refer to the Candidate Bulletin.

For re-testing, or those who cannot attend the examination with their instructor, the multiple-choice examination is available computer-based at PSI centers. To locate a PSI center near you visit http://www.nationalitc.com/NITCService.cfm?GO=NEWS&NEWSID=36.

For Individuals requesting to take an examination at a PSI center there will be an additional twenty- five dollar ($25.00) processing fee. These fees vary according to the length of time allowed for the examinations. Please contact our office to confirm what the processing fee will be for your examination.

Exams given at PSI centers require that an email address be provided. You will receive an e-mail confirmation with your login information to schedule the exam date and time. For any examination scheduled at a PSI center, cancellation and rescheduling must be made at least 48 hours prior to the assigned date and time or a rescheduling fee will be assessed.

All electronic devices are prohibited. No PDAs, cellular telephones, or any other types of devices that record or send data are allowed to be used during the examination.

Keep this page for your records. Return Page 1 to NITC via fax (213) 351-7632, e-mail to arcelia@nationalitc.com, or mail to the address shown below. For more information call (877) 457- 6482.

Form # 720-16 Rev 12-03-12 (NITC Fitter Application).doc

2

www.nationalitc.com

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TO QUALIFY FOR THIS CERTIFICATION, THE EXAMINATION FEE is One Hundred, and A Candidate Information Bulletin inside Form 720 16

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