CoA-NDT Change in Key Personnel

Complete this form when there is a change in the program director, curriculum coordinator, medical director, associate medical director, President/CEO, or dean/dean equivalent. For questions, contact: Jackie L. Long-Goding, PhD, RRT-NPS, FAARC, Executive Director either by emailing office@coa-ndt.org or calling 978-338-6300.

Sponsoring Organization (required)

School Address (required)

Individual who formerly held this position (required)

Information for New Personnel: (required)

Credentials (required)

Phone (required)

Email (required)

Address (required)

Start Date (required)