National Home Inspector Certification Council (NHICC) Application for Background Review

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National Home Inspector Certification Council (NHICC) Application for Background Review Application Instructions This application package includes: 1 - Application Form 1 Standards of Practice for the National Home Inspector Certification Council 1 Code of Ethics for the National Home Inspector Certification Council 1. Please complete ALL sections of the application. If you are a current National Certificate Holder, ACI or an RHI member of an association you must complete the Short Form Application If you are a PHPI please complete the Short Form Application and provide a letter of recommendation by PHPI Admin. 2. Provide as much detail as you can. 3. Attach copies of ALL relevant certificates and documents. Incomplete applications will be placed on hold, until all documents are obtained. 4. Your signature is your agreement to comply with the regulations of the NHICC and the details specified in the application. 5. Return the Application to the address below. If you have any questions about this Application, please contact mailto:info@nationalhomeinspector.org National Home Inspector Certification Council NHICC P.O. Box 22028, Email: Windsor, ON N8N 5G6 info@nationalhomeinspector.org 1 Page

NHICC APPLICATION FOR BACKGROUND REVIEW Applicant Contact Information Applicant Name Tracking # Mailing Address City Province Postal Code Telephone Best Email Address Website Please initial here if you consent to having the above information made available to the public on the NHICC Website. Fax Please initial here - I am over the age of 18 as of the date of this application. NO OTHER INFORMATION IN THIS APPLICATION PACKAGE WILL BE USED FOR ANY PURPOSE OUTSIDE OF NATIONAL CERTIFICATION. Memberships & Designations Please list all Home Inspection Association memberships that you currently hold or have held in the past five years 1 2 3 4 5 Membership Type or Designation Held Please attach photocopies of your current HPI association membership cards & certificates * Please list other any other designations or memberships you hold that are relevant to home and property inspection (for example - P.Eng, B. Arch, CET, RET, etc.) Designation Awarded by: Please attach photocopies of other membership cards and/or certificates 2 Page

Franchise Affiliations If you work through a home inspection franchise, please provide contact information Franchise Name Contact Name Telephone Franchise Website Degrees and Diplomas Please provide details of all university DEGREES or college DIPLOMAS that you hold University or College Degree or Diploma Earned Year Please attach photocopies of your degrees and diplomas Please provide details of any uncompleted university or college programs University or College Program Year(s) you Attended Trade Tickets Please provide details for all TRADE TICKETS that you hold Trade Ticket Trade School attended Year Please attach photocopies of your trade tickets Please provide details for any uncompleted trade tickets Trade Program Trade School attended Year(s) you Attended 3 Page

Formal Home and Property Inspection Training Courses Please provide details of ALL Home and Property Inspection training courses you have taken and PASSED including Building Code Certification Courses Course Name Training Provider Approximate # of Training Hours Year APPROXIMATE TOTAL FORMALTRAINING HOURS Please attach photocopies of course and/or program completion certificates If any of above courses included a practical field training component, please provide details Course Name Training Provider Approximate # of PRACTICAL FIELD TRAINING Hours Year APPROXIMATE TOTAL FIELD TRAINING HOURS 4 Page

Other Home & Property Inspection Training Courses, Workshops, & Seminars Please provide details of all Home and Property Inspection training workshops and seminars that you ATTENDED (including conference workshops) Course Name, Workshop, or Training Provider Seminar Name Approximate Number of Training Hours Year APPROXIMATE TOTAL INFORMAL TRAINING HOURS Please attach photocopies of course and/or program completion certificates Field Training Please provide details of all Home and Property Inspection field training you have completed such as supervised or mentored home inspections Inspection Address Name of Mentor/Trainer Approximate Number of Training Hours Year Field Training includes recognized Mentoring by an experienced home inspector with more than 5 years experience. 5 Page

Home & Property Inspection Exams Taken & Passed Please provide details of all Home and Property Inspection examinations you have taken and PASSED (NOT INCLUDING formal courses with exams listed on Page 3) Exam Name Exam Method Online, classroom, other Year Taken Your Exam Mark out of 100 Please attach photocopies of exam completion certificates Home & Property Inspection Experience Fee Paid What year did you start practicing as a home and property inspector (full time or part time) About how many home and property inspections do you perform in a typical year About how many home and property inspections have you performed in your career If applicable, please attach a list of all or your last fifty inspection addresses with dates Compliance with Standards of Practice for Home and Property Inspectors Do you perform home and property inspections that comply with a Standard of Practice for Home and Property Inspectors? If yes, which Standard of Practice? NOTE - In order to be accepted into the National Certification Program, applicants must agree to comply with the ASHI Standards of Practice (or approved equivalent) as adopted by the National Home Inspector Certification Council on all future inspections. A Copy of the ASHI Standards of Practice is available on our website. Compliance with National Occupational Standards Are you familiar with the National Occupational Standards for Home and Property Inspectors? Note a copy of the National Occupational Standard can be downloaded from the NHICC website www.nationahomeinspector.org Compliance with NHICC Code of Ethics In order to be accepted into the NHICC Program, applicants must agree to comply with the NHICC Code of Ethics - which has been adopted by the National Home Inspection Certification Council: 6 Page

Honesty, justice, and courtesy form a moral philosophy which, associated with mutual interest among people, constitutes the foundation of ethics. Home and Property Inspectors should recognize such a standard, not in passive observance, but in a set of dynamic principles guiding their conduct. It is their duty to practice the profession according to this code of ethics. As the keystone of professional conduct is integrity, Home and Property Inspectors will discharge their duties with fidelity to the public, their clients, and with fairness and impartiality to all. They should uphold the honor and dignity of their profession and avoid association with any enterprise of questionable character, or apparent conflict of interest. 1. The Home and Property Inspector will express an opinion only when it is based on practical experience and honest conviction. 2. The Home and Property Inspector will always act in good faith toward each client. 3. The Home and Property Inspector will not disclose any information concerning the results of the inspection without the approval of the clients or their representatives. 4. The Home and Property Inspector will not accept compensation, financial or otherwise, from more than one interested party for the same service without the consent of all interested parties. 5. The Home and Property Inspector will not accept nor offer commissions or allowances, directly or indirectly, from other parties dealing with their client in connection with work for which the member is responsible. 6. The Home and Property Inspector will promptly disclose to his or her client any interest in a business which may affect the client. The Home and Property Inspector will not allow an interest in any business to affect the quality of the results of their inspection work which they may be called upon to perform. The inspection work may not be used as a vehicle by the Home and Property Inspector to deliberately obtain work in another field. 7. A Home and Property Inspector shall make every effort to uphold, maintain, and improve the professional integrity, reputation, and practice of the home inspection profession. She/He will report all such relevant information, including violations of this Code by other Home and Property Inspectors, to the National Home Inspector Certification Council for possible remedial action. Acknowledgment - I hereby acknowledge: 1. That I have read and understand the ASHI Standards of Practice and Code of Ethics, and agree to follow and abide by these and other policies and procedures of the NHICC. 2. That I have read and I understand the National Occupational Standards for the home inspection profession in Canada, and agree to maintain and follow these standards. 3. That I am not actively engaged in the business of real estate, as a real estate broker or salesperson. I will not sell, purchase or list real estate for third parties. 4. That I will not repair for a fee any condition I find during inspections. 5. That I understand that I cannot use the NHICC logo until my application for membership has been reviewed and I have been approved for certification with logo privileges in writing. I will honour and respect the Logo use policies as outlined in the NHICC bylaws. 6. That for and in consideration of the benefits provided me by the National Home Inspector Certification Council ( NHICC ), I hereby waive, release and forever discharge the NHICC, its Board of Directors, officers, members, agents and employees, of and from suits, claims, cause of action, damages, losses or injuries that I shall or may have for any reason or cause including but not limited to those related to the implementation or enforcement of the ASHI Code of Ethics, Standards of Practice and/or any other activities. 7. That certification is non-transferable and dues are non-refundable. 8. I am required to complete 20 hours of continuing education credits per year. 7 Page

Agreement & Signatures National Home Inspector Certification Council 1. I, the Applicant, hereby warrant that all statements and claims made in this application are true and accurate. I understand that if any statement or claim I have made in this application is not true or accurate, then I may be removed from the NHICC Program. 2. I further agree to comply with NHICC Standards of Practice and NHICC Code of Ethics for Home and Property Inspectors, and understand that non-compliance may be grounds for my removal from the NHICC Program. 3. I further agree that I will maintain Errors and Omissions Insurance if it is required by any relevant licensing or regulatory body and understand that non-compliance may be grounds for my removal from the NHICC Program. 4. I further state that I have not been convicted of a criminal offense within the past five years. (If you have, please contact the NHICC office for further consultation) Applicant Signature Applicant Name Date Witness Signature Witness Name Witness Address Witness Telephone Number Initial application, including background review and one Test Inspection $ 600.00 Applicants please return this completed form with all documents for verification /review and payment to: National Home Inspector Certification Council P.O. Box 22028 Windsor, ON N8N 5G6 If you have any questions about this Application, please email info@nationalhomeinspector.org Please Select Method of Payment Cheque - payable NHICC in the amount of $ ($25.00 charge for NSF cheques) Online Payment - http://www.nationalhomeinspector.org/payment.htm 8 Page