GA-MTH Reinstatement Application

Transcription

GA-MTH Reinstatement Application
Georgia Master Timber Harvester Program
Reinstatement Application
GA-MTH # __________
Expiration Date
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(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
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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
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v3.24.2015
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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.
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