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Personal Information:
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*First name:
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Middle name:
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*Last name:
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*Home mailing address ( limit to 50 characters):
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*City:
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*State
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*Zip or Postal code :
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Country:
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*Daytime telephone number:
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Canadian province if you live in Canada:
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Evening telephone number:
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*Date of birth (e.g., June 30, 1971)
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Work eMail:
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Home eMail:
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Citizenship
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* Are you a U. S. citizen?
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*If not a U. S. citizen, are you authorized to work in the
U.S.?
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Education
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*Highest level of education completed:
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*Please provide the name and address of institution awarding
your high school diploma or GED:
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Please provide the name and address of institution(s) awarding your college degree.
If you do not have a college degree, then leave blank.
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Military Service
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Questions 1 and 2 must be answered even if you did not serve in the military.
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*1. Select the answer that best describes your military
service:
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*2. Select the appropriate military discharge status:
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| List all service schools you attended and completed while in the military that are considered technical skills training. If you did not complete a military service school, then leave blank
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Note: Use a maximum of 1,500 characters including spaces:
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Industry-Related Training
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List any industry-related education or training you have successfully completed
(e.g., QEI, professional engineer (PE) license, NEIEP education programs, IBEW Apprenticeship
Program (Elevator Division), or completion of other elevator industry-related
courses, etc.)
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Note: Use a maximum of 1,500 characters including spaces:
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Elevator Industry-Related Work Experience
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This section provides space to help document your elevator-related industry experience.
Please note that the NAEC staff may contact you for written verification of
this information as part of the CET program confirmation process.
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*Current employer:
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*Company post office box or street address:
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Suite, building, or other address information:
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*City:
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*State (abbreviation such as "MI" for Michigan
or "NY" for New York, etc.), Country (full country name), or Province
(full province name):
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*Zip or Postal code:
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*Telephone number:
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Fax number:
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*Position:
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*Total hours worked with this employer (2,000 hours per
year will equal one full-time work year):
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*Name of your CET-S:
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Previous Employer:
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Company address:
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Telephone number:
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Fax number:
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Position:
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Total hours worked with this employer (2,000 hours per year will equal one full-time
work year):
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Previous Employer:
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Company address:
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Telephone number:
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Fax number:
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Position:
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Total hours worked with this employer (2,000 hours per year will equal one full-time
work year):
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Please provide any other information that would help document any experience related
to the CET program:
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Note: Use a maximum of 1,500 characters including spaces:
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Computer Access and Skills
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*Do you have access to a computer connected to the Internet?
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*Do you have a computer at home connected to the Internet?
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*If you have a computer at home connected to the Internet,
specify the type of connection:
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*Select the answer that best describes your computer skills:
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Voluntary Information
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The following questions are being gathered for statistical purposes only.
You are not required to answer the next two questions and your failure to answer
them will not affect your application status.
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Select your gender:
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Select your race or ethnic origin:
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Certification Statement and Special/Emergency Handling Request
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Certification Statement
By selecting the Submit My CET™ Candidate Option Application to NAEC
button below, I certify that the facts contained in this application are true and
complete to the best of my knowledge and understand that if I am selected as a candidate
in the CET™ program, falsified or misleading information provided on this
application shall constitute good and sufficient grounds for retracting my CET™
Candidate status or immediate cancellation of my CET™ Certification. Also,
by submitting this application, I agree to provide NAEC with copies of any documents
requested to verify information I have provided in this application. Finally, by
selecting the Submit My CET™ Candidate Option Application to NAEC button below,
I understand that I will be required to authorize the release of information from
all of the companies listed in this application.
Additionally, I certify that I understand and agree that in consideration of my
participation in the National Association of Elevator Contractors (NAEC) CET™
program, I will never institute any suit, action at law or equity, or make any claim
against the NAEC, NAEC employees, NAEC members, my employer, any and all future
employers participating in the CET™ program, nor any members that assisted
with the development, presentation, or implementation of the CET™ program,
nor any of their officers, employees, or agents for or by reason due to damage,
loss, or injury either to person or property, or both, whether developed or undeveloped,
resulting or to result, known or unknown which may arise out of my participation
in the NAEC CET™ program.
Furthermore, I understand and agree to indemnify and hold harmless the NAEC, NAEC
employees, NAEC members, my employer, any and all present and future employers participating
in the CET™ program, and any and all vendors that assisted with the development,
presentation, or implementation of the CET™ program against any claim for
damages, compensation or other relief made by any person based upon or arising out
of, in whole or part, my participation in the CET™ program.
Your application will not be considered complete until NAEC receives a copy of the
application sent to you by NAEC that has been properly signed, dated, and returned
to NAEC along with payment in the amount of $125.00 (US$) NAEC Member and $525.00
(US$) Non-member representing the first year's Administration/Education Fee. NAEC
accepts checks, money orders, MasterCard, VISA and American Express Credit card
payment information will be included in the application verification package sent
to you by NAEC. Please note that this fee is non-refundable.
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Final Steps
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Submit the online application by selecting the "Submit My CET™ Candidate
Option Application to NAEC" button below. If your online application has been
completed properly and accepted by the NAEC system, you will see a confirmation
screen that the online application has been submitted to NAEC. If you get an error
message, note the missing information provided in the error message, select the
"Back" button on your browser, provide the corrections, and then repeat
the Final Steps. If you have any problems with submitting the online application,
please contact NAEC at 800.900.6232.
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