ACA Certification Application What you will need for this application: 1. Basic Corrosion Education Certificate 2. ACA Individual/Corporate Membership Number/Name 3. Academic Records 4. Work Experience Records 5. References Details 6. Credit Card Details 7. Any Other Relevant Documentation Step 1 of 6 - Personal Details 16% Application for admission as a:*Corrosion TechnicianCorrosion TechnologistAcceptance Will accept Corrosion Technician (If Corrosion Technologist is not approved) Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Middle Last Email* Enter Email Confirm Email Mobile*Address*Please ensure address is correct to avoid lost letters & certificates Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Membership Number or Name Corporate Membership*Please provide your membership number if you are an individual member. If you are part of a corporate membership please provide the name of the company. Basic Corrosion Prerequisite Education*Course NameCourse ProviderCourse LocationCourse DateCertificate Number Add as many as you like with the + button on the rightCertificate Upload* Drop files here or Please upload a copy of your basic corrosion education.Academic, Technical & Training Qualifications*Qualification NameQualification ProviderCourse LocationCourse DateCertificate Number Add as many as you like with the + button on the right Summary of protective coatings related work experience*Add as many jobs as you like with the + button on the rightFrom (Month/Year)To (Month/Year)Month(s) In JobJob TitleCompany Name DutiesDescribe specific duties for each job with the format: [COMPANY NAME]: [Duties] If applying for Technologist ensure to highly supervisory roles. Verification*Add at least one contact per company as a reference.Company NameContact NameContact PositionContact EmailContact Mobile Additional InformationUpload Any Relevant Documents Drop files here or Application Cost Within Australia AUD $195Application Cost Overseas AUD $180Credit Card*MastercardVisaCard Number*Expiry*CCV/CVC (Security Number)* What Happens Now? All your relevant information will be compiled and presented to the Education & Training committee. The committee is made up of independent specialized experts in various fields, who will assess the application. The Education & Training committee will only assess applications once per quarter, so please be patient. Once a determination has been reached you will receive a notification letter, and if appropriate your credit card will be charged for the application and you will be sent a letter along with all relevant itemsFull Name*Terms & Conditions* I affirm all below:1. The proper control of corrosion can be critical to the safety and welfare of the general public and of industrial facilities. 2. The control of corrosion is obligatory to maximise conservation of our material resources and reduce economic losses. 3. The entire field of corrosion 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. Only through continual association and cooperation with others in this field can the safest and most economical solutions be found to the many types of corrosion problems. 5. The quality of my work reflects on the entire profession of corrosion control. 6. Give first consideration in my corrosion control work to safety and public welfare. 7. Apply myself with diligence and responsibility to the corrosion control work that lies within my area of competence. 8. Pursue my work with fairness, honesty, integrity and courtesy ever mindful of the best interests of the public, my employer and of fellow workers in the corrosion field. 9. Never represent myself to be proficient or to make recommendations in areas of corrosion control work in which I am not qualified by knowledge and experience. 10. Avoid and discourage sensational, exaggerated or unwarranted statements regarding my work in oral presentations, written texts or advertising media. 11. Treat as confidential my knowledge of the business affairs or technical processes of clients, employer or customers when their interests so require. 12. Inform clients or employers of any business affiliations, interests, or connections which might influence my judgement. 13. Uphold, foster and contribute to the published objectives of the Australasian Corrosion Association and to maintain my membership therein for as long as I wish to maintain this certification. 14. Understand that my failure to comply with these requirements may result in my Certification by ACA being revoked.