GA-MTH 2015 Renewal Application

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
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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