Georgia Master Timber Harvester Program Renewal Application - 2015 GA-MTH # ________ (listed on your GA-MTH card or online at GA-MTH.forestery.uga.edu) Full Nam e _______________________________________________________ First Middle Last Company ____________________________________________________________________________ Mailing Address ______________________________________________________________________ City, State, Zip ___________________________________________ County _____________________ Phone __________________________ E-m ail ______________________________________________ Please the check category that most applies to you: □ Logging Business Owner □ Logging Business Employ ee □ Timber Buy er □ Forester □ Other (please specify) _________________________________ List your continuing education completed 2014-2015 There are two hourly requirements for renewal: 1) a minimum of four hours in an environmental subject and 2) eight hours in any subject (environment, business, or safety), for a total of 12 hours. Use your best judgment to assign CFE credits by subject Date Official Course Name City, State Credit Hours by Subject Env Bus Safe I f more space needed, attach a list of additional courses and fill-in a subtotal of those hours on this line Total hours/credits minimum requirement is (env)=4 and (env+bus+safe)=12 I underst and t he GA-MTH renewal requirements (see page 2). I affirm t he information provided herein is accurate. I am paying my renewal fee of $ 40 wit h: Check # ______________ Signature _______________________________________ Date OFFICE USE ONLY / / Please return the completed form with $40 renewal fee before deadline of December 31 st. 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 □ LZS □ FCC □ 2017 □ □ Access □ Scan □ Website v3.24.2015 / / Georgia Master Timber Harvester Program Renewal Application - 2015 Renewal Application Instructions 1. Fill in your 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 renewal purposes. 3. Attach copies of your course/credit certificates of completion for each course you listed. 4. Sign and date your form, indicating that you listed accurate information and that you understand the GA-MTH program guidance listed below. 5. Enclose payment for the renewal fee made payable and envelope addressed as instructed at the bottom of the renewal form. Additional Renewal Guidance Continuing Education Requirements. Applicants must complete at least twelve (12) hours of approved continuing education hours during each renewal period (2 years) preceding an expiration date. o At least 4 of the 12 hours required must be in environmental subject, the remaining 8 may be in environmental, business, or safety subjects, in any combination. Both of the following examples equally satisfy renewal requirements—1) 4/env+4/bus+4/safe and 2) 10/env+0/bus+2/safe—as they both add up to 12 total hours with 4 environmental. 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 your specific course information with approved credit hours. 2 This is the specific course documentation you are to include with your renewal application. Renewal Cycle: All continuing education must be completed within the two-year period preceding the expiration date (e.g. December 31 of your designation’s expiration year). Continuing education credits cannot be applied towards more than one renewal or reinstatement period. Renewal Deadlines: On-time renewals must be postmarked before December 31. Late renewals will not be accepted and a reinstatement process for any designations not renewed before the deadline. Audit: Approved renewal applications are later randomly selected to confirm satisfactory completion of continuing education claimed. We suggest keeping documentation of completed training you claim for at least two years after your renewal application is approved. Questions? Additional program guidance and other forms are available on our website or by contacting our office at 706-542-7691. Eit her the GA-MTH office or another state’s logger education program recognized under the Sustainable Forestry Initiative® a pproves 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 sh ould allocate CFE credits by environmental, business, or safety credits at your discretion, we will contact you regarding any con flicting determinations at the time of our review. 1
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