| 1. |
a) |
Enter title of your program as it will be advertised
to the public. |
| |
|
|
| |
b) |
Include definitions of any acronyms used in your presentation
descriptions. |
| |
|
|
|
|
|
|
|
| 2. |
All programs approved for CCHs must be open to the public.
These programs, including the program sponsor contact's name and phone
number will be posted to the Office of Indiana State Chemist (OISC)
website when approved. |
| |
|
|
|
|
|
|
|
| 3. |
Enter the dates for the conference/program. Enter the
link to your on-line registration form to this program if available. |
| |
|
|
|
|
|
|
|
| 4. |
a) |
Use
additional worksheets, as needed, for multiple days. If submitting
additional worksheets via e-mail, please indicate how many pages
you will be sending. |
| |
|
|
| |
b) |
Do
not list on this worksheet any presentations that you believe do
not have any pesticide applicator/technician competency content in
them. Subject matter and content must include,
but may not be limited to, at least one (1) of the following: |
| |
|
|
|
|
|
|
|
| |
|
| A. |
Pest Identification |
| B. |
Pest Biology |
| C. |
Pesticide Chemistry |
| D. |
Pesticide Equipment Calibration and Maintenance |
| E. |
Pesticide Use |
| F. |
Pest management by cultural, mechanical or other
non-pesticide means, including, but not limited to the following: |
| |
i. |
Sanitation; |
| |
ii. |
Exclusion; |
| |
iii. |
Fertilization; |
| |
iv. |
Irrigation; |
| |
v. |
Soil compaction; and |
| |
vi. |
Pest monitoring. |
| G. |
Pesticide label interpretation |
| H. |
Pesticide label safety measures |
| I. |
Public and customer safety |
| J. |
Consumer and customer complaints |
| K. |
Applicator safety |
| L. |
Environmental safety |
| M. |
Associated State and Federal laws or regulations
effecting pesticides or pesticide users. |
| |
|
| |
c) |
Subject matter and content may not include
any of the following: |
| |
|
| |
|
| A. |
Product or service sales or promotions. |
| B. |
Employee hiring or retention. |
| C. |
General business practices. |
|
| |
|
|
|
|
|
|
|
| |
d) |
List for each presentation all of the
categories for which you feel the presentation material is appropriate.
The categories you list should be based on the specific presentation
content and your anticipated target audience. The category descriptions
are as follows: |
| |
|
|
|
|
|
|
|
| |
|
| 1 |
- Agricultural Pest Management |
6 |
- Industrial Weed Management |
| 2 |
- Forest Pest Management |
7a |
-
Industrial, Institutional, Structural & Health-Related
Pest Management |
| 3a |
- Ornamental Pest Management |
7b |
- Termite Control |
| 3b |
- Turf Pest Management |
7d |
- Fumigation |
| 4 |
- Seed Treatment |
8 |
- Mosquito Management (Community-Wide) |
| 5 |
- Aquatic Pest Management |
11 |
- Aerial Application |
| |
|
12 |
- Wood Destroying Pest Inspection |
|
| |
|
|
|
|
|
|
|
| 5. |
a) |
Completed CCH approval worksheet requests must
be submitted to OISC at least three (3) weeks in advance of the program
date. If you suspect that there may be a problem with timely
submission of the request, contact Leo Reed at (765) 494-1588 for
guidance. |
| |
|
|
| |
b) |
Completed worksheets may be mailed, faxed or e-mailed to: |
| |
|
|
|
|
|
|
|
| |
Jill Davis
Office of Indiana State Chemist
175 S. University Street
West Lafayette, IN 47907-2063
Telephone: 765-494-1594
Fax: 765-494-4331
E-mail: davisjs@purdue.edu |
| |
|
| |
c) |
CCHs will be awarded as whole numbers for each applicable
category on a per-day basis. One (1) CCH will be awarded for one (1)
hour of appropriate presentation time. Questions or discrepancies about
the number of CCHs awarded should be directed immediately upon your
notification of approval/denial from OISC. Inquiries should be directed
to Leo Reed at (765) 494-1588 or by e-mail: reedla@purdue.edu |
| |
|
|
|
|
|
|
|
