NRSB Examination Order Form

This form may be used to order one or more sets of the NRSB proficiency examinations for certification as Radon Measurement Technician, Radon Measurement Specialist and Radon Mitigator.    Examinations must be given within two-weeks from the date of receipt of exams.  Examinations must be returned within twenty-four (24) hours from the date of the first examination.  Complete the items below.

1.     When ordering a single (1) examination, a flat fee of $90.00 will be assessed.  This fee includes shipping and handling charges.  Single exam orders must be paid in advance by credit card or at the time of taking the exam by enclosing a check in the return envelope.

2.     The NRSB examination grading service fee is $45.00 for each examination when ordering of  two (2) or more examinations.  No fees will be assessed for any unused exams that are returned with seals intact and void of any tears or markings which would render the examination unusable.  Shipping charges to and from the testing facility will be billed to the requester.  Traceable shipment consists of up to 20 examination booklets to a single location (fee includes a single pre-paid shipping label for return of all materials to the NRSB).  The National Radon Safety Board will not accept packages billed to NRSB without prior written approval.  The requester will be billed for grading services fee and shipping fees when materials are returned. Payment terms are net 10 days from the date of the invoice.

3.     The Chief Examiner signs the Exam Security Agreement on the reverse side of this form.

4.     Type or print the following information.

5.     Submit the completed form to NRSB, 14 Hayes Street, Elmsford, NY 10523 or fax to 914-345-1169.  The NRSB Examination Order Form must be completed in its entirety and received by the NRSB no later than two weeks prior to the examination date.

*Exam Type

# of Exams

Exam Date

Exam Location

City/State

NRSB Exam Numbers

Date Sent by NRSB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*RMT - Radon Measurement Technician      *RMS - Radon Measurement Specialist         *RRS- Radon Mitigator

 

Ship Exams to:

Bill Exams to:

Responsible Person:

Address: (No P.O. Box)

 

 

  

Email Address:_______________________________

Phone: (     )  _________________________________

 

Exams Needed by:

________/________/________

 

Signature of Responsible Party:

___________________________________________

 

Responsible Person:

Address:

 

 

   

 

Phone: (     )___________________________________

Visa/MC/AmEx#:_________________________

 Security Code: _______________Exp Date:__________

 Billing Address:_______________________________

Signature: ________________________Date________

 

Payment terms net 10 days from date of invoice.

 

 


 

QUALIFICATIONS AND RESPONSIBILITIES

Chief Examiner

The Chief Examiner is the individual representing the entity that has requested to administer the NRSB certification examination.  The Chief Examiner may also serve as the Proctor as described below.

The Chief Examiner must inform examinees at the time of registration for an examination, the time each examination will begin and end, and the materials to be brought to the exam.

Proctor

The Proctor is the individual who oversees the administration of the exam, ensures the security of the exams, and supervises the behavior of candidates during the examination.

The Proctor is responsible for the administration of the examination, and that it is conducted in strict compliance with the regulations outlined in these instructions.  The Proctor must inform examinees of rules and guidelines to be followed during the exam. 

Proctors may not be an instructor of the course for which the exam is administered, nor may a Proctor be an immediate supervisor or employer, or immediate relative, of an examinee. 

Who May Proctor the Exam 

1.      A member of the teaching faculty or an educational administrator of any accredited University.  The student must submit a page from the institution’s directory or catalog that lists not only the proctor’s name and title, but also the institution’s name.  Photocopies are acceptable.

2.      A high school superintendent, supervising principal, principal, guidance counselor or an Intermediate Unit administrator. 

3.      An elementary or high school teacher provided you submit a letter on official letterhead from the teacher’s principal or superintendent verifying the teacher’s position.  A photocopy of the teacher’s certification is not sufficient.  NOTE:  Currently employed teachers may not request a fellow teacher to proctor their exams.  Superintendents or principals from the same school district are acceptable.