GA-MTH Reinstatement Application
Transcription
GA-MTH Reinstatement Application
Georgia Master Timber Harvester Program Reinstatement Application GA-MTH # __________ Expiration Date / / (as listed on your most recent GA-MTH card) Full Name _________________________________________________________ First Middle Last Company _________________________________________________________________________ Mailing Address _____________________________________________________________________ City, State, Zip ___________________________________________ County _____________________ Phone _________________________ E-mail ____________________________________________ Please the check category that most applies to you: □ Logging Business Owner □ Logging Business Employee □ Timber Buyer □ Forester □ Other (please specify) _______________________________ List completed continuing education and attach corresponding CLE/CFE certificates The minimum hours required for reinstatement are based on your last expiration date (please see instructions). If claiming CFE credits, please assign credits by subject using your best judgment. Date Official Course Name City, State Credit Hours by Subject Env Bus Safe If more space needed, attach list of additional courses and fill-in subtotal of those hours on this line Total hours/credits I understand the GA-MTH reinstatement requirements (see page 2), I affirm the information provided herein is accurate, and I am paying my reinstatement fee with check # ________ Signature _______________________________________ date / / Please return completed form with required documentation and $100 reinstatement fee. Please make check payable to UGA-Master Timber Harvester and mail to: UGA-Master Timber Harvester Program Center for Forest Business The University of Georgia Athens, GA 30602-2152 OFFICE USE ONLY □ LZS □ FCC □ 2016 □ □ Access □ Scan □ Website / v3.24.2015 / Georgia Master Timber Harvester Program Reinstatement Application Reinstatement Application Instructions 1. Fill in complete name, contact info, and occupation/business category. 2. List courses completed, including the hours/credits of CLE (Continuing Logger Education) or CFE (Continuing Forester Education) you are claiming for reinstatement purposes. See guidance below to determine minimum hourly requirements. 3. Attach copies of your course/credit certificates of completion for each course you listed. 4. Sign and date your form to verify that you listed accurate information and that you understand the GA-MTH program guidance listed below. 5. Enclose payment for the reinstatement fee made payable and address your envelope as instructed at the bottom of the renewal form. Additional Guidance Continuing Education Requirements. Applicants must account for all past due continuing education requirements as if designation had not expired or been cancelled. Formula to determine required hours follows—we encourage you to contact us to confirm required hours for your specific circumstance. o Continuing education credits required for reinstatement: minimum total hours equal 12 hours plus 6 hours for each year since GA-MTH expiration AND minimum environmental subject hours equal to one third (1/3) of your total required hours. o CLE and CFE credits are equally acceptable for purposes of GA-MTH renewal. 1 Up to a maximum of 2 hours of nationally accredited First Aid and CPR training can also be used as safety continuing education. No other professional accreditations (including ISA, GSWCC, etc.) will be accepted in lieu of approved CFE or CLE credits. Course Certificates or Contact Hour Notices. If a course was approved for CLE or CFE credit, the education provider was directed to give you a standardized certificate, which bears the CLE or CFE logo and lists course information with approved credit hours. 2 This certificate is the documentation you are required to include with your reinstatement application. Reinstatement Period. All continuing education must have been completed no earlier than two years preceding your last expiration date (December 31 of your designation’s expiration year). Continuing education credits cannot be applied towards more than one renewal or reinstatement period. Audit. Approved reinstatement applications are later randomly selected to confirm satisfactory completion of your continuing education. We suggest keeping documentation of completed training you claim for at least two years after your reinstatement application is approved. Questions? Additional program guidance and other forms are available on our website or by contacting our office at 706-542-7691. Either the GA-MTH office or another state’s logger education program recognized under the Sustainable Forestry Initiative® approves CLE credits. The Society of American Foresters approves CFE credits. 2 Because the Society of American Foresters classifies CFE credits solely as category 1 or category 2, for GA-MTH purposes you should allocate CFE credits by environment, business, or safety credits at your discretion, we will contact you regarding any conflicting determinations at the time of our review. 1
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