Back  Close

Nate LogoCTB Application

National Association of Trade Exchanges (NATE)
Application for Professional Certification

Application may be filled in online and emailed to NATE
or filled in and printed for mailing.
If blank application is printed, it must be typed or printed in black ink.
*** Please Complete All Required Fields Before Clicking Submit Button ***
 

Personal and Professional Information

Your Name: 
Home Address:
Home City: 
Home State/Zip: 
Home Phone:
Company Name: 
Company Address:
Company City: 
Company State/Zip:
Company Phone:
Current Supervisor:
Professional
Affiliations:

Business Experience (Last 5 years) – Total Points Earned: 
Position 1:
Dates From:     To 
Organization:
Phone:
Address:
Responsibilities:
Position 2:
Dates From:     To 
Organization:
Phone:
Address:
Responsibilities:

Use separate sheet if needed

References: (List 2 co-workers or employers who can verify your professional experience and performance.)
Name & Title:
Firm:
Phone:
Address:
Name & Title:
Firm:
Phone:
Address:

Professional References: (List 2 clients who can verify your professional experience.)
Name & Title:
Firm:
Phone:
Address:
Name & Title:
Firm:
Phone:
Address:

Education – Total Points Earned:

High School Attended:
City/State/Zip:
From:  to     Graduated: 
College Attended:
City/State/Zip:
From:  to       Graduated: 
Degree:
Major:

Professional Continuing Education – Total Points Earned:

Course Title:
Course Description:
Training Organization:
Length of Course:        Completion Date:   
Course Title:
Course Description:
Training Organization:
Length of Course:        Completion Date:   

Use separate sheet if needed

Conference Attendance – Total Points Earned:

Regional Meeting:
National Meeting:
Dates:        Location:   
Workshops Attended:
Regional Meeting:
National Meeting:
Dates:        Location:   
Workshops Attended:
Regional Meeting:
National Meeting:
Dates:        Location:   
Workshops Attended:

Event Chairperson – Total Points Earned:

Type of Event:
Event Date:
Client Name/Firm:
Phone:
Address:
Description of Results:
Type of Event:
Event Date:
Client Name/Firm:
Phone:
Address:
Description of Results:
Type of Event:
Event Date:
Client Name/Firm:
Phone:
Address:
Description of Results:
Type of Event:
Event Date:
Client Name/Firm:
Phone:
Address:
Description of Results:

Use separate sheet if needed

Certification Course – Total Points Earned:

Examination History – Total Points Earned:

Written Exam:
Oral Exam:
Test Center Location:
Date of Test:
Total Test Score:
Written Exam:
Oral Exam:
Test Center Location:
Date of Test:
Total Test Score:
Signature:
Check here to confirm the above as an Electronic Signature:

   

Back Close

 

 

 

 

 

 

 

 

Points System Summary
Area of achievement – Points Earned
For each year of experience (max 3) – 10
Attending a Regional Meeting – 10
Attending a National Meeting – 20
Acting as a Local Event Chairperson – 20
For each year of college – 10
For earning an Associate’s Degree – 5
For earning a Bachelor’s Degree – 10
For earning a Master’s Degree – 15
Completing a Continuing Ed Course – 10
Exhibiting Exceptional Job Performance* – 20
Adherence to Code of Ethics* – 20
Passing the CTB Exam* – 50
*Mandatory Certification Requirements

Back