ICE Exam Session Scheduling Form

    ***** Please note you must be a registered ICE proctor in order to schedule an ICE exam *****






    Authorization For Release Of Results Form

      By including my signature below, I authorize NATE to transfer my test results and certification information to
































      Request For Non-Standard Test Accommodation

        This information requested below and any documentation regarding your disability and your need for accommodations in testing will be considered strictly confidential and will not be shared with any outside source without your express written permission.







        Accommodations requested for NATE Certification Testing:


        PLEASE CHECK ALL THAT APPLY:














        I understand that I must forward all required paperwork with this document at least 45 days prior to my exam
        date in order to be processed.




        NATE DOCUMENTATION OF DISABILITY RELATED NEEDS


        If you have a learning disability, a psychological disability, or other disability that requires an accommodation in testing, please have this form completed by an appropriate licensed professional (psychologist, physician, or surgeon) to certify that your disabling condition that requires the requested exam accommodation. If you have existing documentation of having the same or similar accommodation provided to you in another test administration you may submit such documentation instead of having this form completed.


        If you have existing documentation of having the same or similar accommodation provided to you in another test administration you may submit such documentation instead of having this form completed.

        Test Session Audit Form

          This form must be returned in order to process exams in a timely matter. Please complete all fields.

          GENERAL INFORMATION






          Please list any assistant proctors, translators, or readers who assisted in the session:





          TEST SESSION COMMENTS



          EXAM INFORMATION:







          Ship testing materials (via trackable method) to:
          North American Technician Excellence
          Attn: Exam Processing
          2311 Wilson Blvd., Suite 410, Arlington, VA 22201







          Nate Continuing Education Hours


            North American Technician Excellence (NATE) requires technicians to complete 16 continuing education hours (CEHs) every 2 years in order to recertify by CEHs. Training must be relevant to the specialty or in general topics such as safety, electricity, controls, codes and regulations. Proof of training is accepted in the form of a certificate of attendance or roster from the training provider.
            This form can be completed by the technician and the instructor in the absence of these documents and submitted via email to recertify@natex.org or fax at 571-282-0973. Call NATE customer service at 877-420-6283 for assistance.
            Important: Credit will not be given if the form is incomplete. Only include a course number for NATErecognized courses. If the course is not recognized by NATE, a brief course outline must be included.


            CONTACT INFORMATION


            TECHNICIAN




            INSTRUCTOR





            COURSE DETAILS


            TRAINING COURSE







            COURSE OUTLINE


            Have multiple technicians taking this course? Save time and call to find out about getting it NATE-recognized!
            Provide details of the course content here:



            SIGNATURES





            Nate Logo Usage Guidelines


              NATE has a variety of logos, trade and service marks, and logo sayings. The NATE company logo is meant to
              be used solely by NATE. Variants of the NATE logo - our parter logos - have a targeted audience with sayings
              which are available both in four-color and black and white versions.


              1. NATE Logos can be sent to contractors which request them (if the contractor employs at least one NATE
              certified technician), businesses that engage in activities in support of NATE certification (Manufacturers,
              Utilities, or Testing Organizations), or NATE re-certification (Testing/Training Organizations). Contractors are
              required to keep at least one NATE certified technician employed for continued use of the logo. If a contractor
              no longer has any NATE certified technicians (certification expiration or technician leaving employment) then
              the contractor must immediately stop using the NATE logo.


              2. Logos can be sent to anyone from a contractor employing NATE certified technicians or acting on behalf
              of that contractor (provided the contractor has identified them as being an agent of that business) who
              requests the logo for company use, provided that company has NATE certified technicians.


              3. Logos with Training or Testing language attached can be sent to any approved Testing or Training
              provider. Manufacturers, Utilities, and other businesses that support NATE can also request support logos.
              Contractors can also request the logo with “Proud To Employ Certified Technicians” provided that they do and
              continue to employ a NATE certified Technician.


              4. It is required that a NATE Logo Request Form is filled out and sent in for approval before any logos are
              sent to any business.


              5. NATE partner logos will be used instead of the NATE corporate logo for usage in any print or online
              material that may be reproduced, or sold.


              6. NATE requires the appropriate four-color 3D NATE logo to be used for web and print. Any business that is
              currently using old logos shall submit a new request form for getting the updated logos.

              All required fields (marked with an * asterisk) must be completed to receive logos.







              My Company Represents*

              Color Scheme*

              Type of Logo Required*

              Type of NATE logo(s) requested (check the ones that are needed)*

              - Contractors/Technicians must supply one valid NATE ID
              - Testing/Training organizations must supply valid TO or RTP number