PURDUE PESTICIDE PROGRAMS PURDUE EXTENSION · PDF filePURDUE PESTICIDE PROGRAMS PURDUE...

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PURDUE PESTICIDE PROGRAMS PURDUE EXTENSION 2017 Core and Commercial Category Pesticide Applicator Training 2017 Pesticide Applicator Training Registration Fee The fee is $60, per person, per program. Personal or company checks, money orders, purchase orders, and MC, VISA, or Discover cards are accepted. The fee does not include study manuals, meals, or lodging. Preregistration is requested. There is a 10% fee for registration cancellations or transfers. Purdue Pesticide Programs reserves the right to cancel programs at any time. Purdue University is not responsible for costs incurred due to cancellation. Parking is free of charge at all training sites except for Core training at the Convention Center ($26) on January 4, 2017. Study Materials You are encouraged to order a study manual ($30 ea) for each program for which you register. Training is geared toward those who have studied the manual prior to training. There are NO refunds on study manuals. Program Schedule Training programs begin at 8:30 a.m. (local time). Attendees should arrive between 7:30 and 8:25 a.m. to finalize registration. Programs conclude at approximately 3:30 p.m., with the exam offered immediately after. All programs are held at the William Daniel Turf Center, 1340 Cherry Lane, West Lafayette, IN 47906, unless otherwise indicated. Note that these programs are for initial certification ONLY. Recertification credits will not be awarded. Examination and Photo Identification The Office of Indiana State Chemist requires that all persons taking a certification exam present a government issued photo ID. This includes any valid state driver license, military identification, passport, state issued identification card, or federal agency identification. No other identification will be accepted. Remember to bring a basic handheld calculator for use during the examination (cell phone use is prohibited during testing). Purdue University is an equal access/ equal opportunity institution.

Transcript of PURDUE PESTICIDE PROGRAMS PURDUE EXTENSION · PDF filePURDUE PESTICIDE PROGRAMS PURDUE...

PURDUE PESTICIDE PROGRAMSPURDUE EXTENSION

2017 Core

and Commercial

Category Pesticide

Applicator Training

2017 Pesticide Applicator Training

Registration FeeThe fee is $60, per person, per program. Personal or company checks, money orders, purchase orders, and MC, VISA, or Discover cards are accepted. The fee does not include study manuals, meals, or lodging. Preregistration is requested. There is a 10% fee for registration cancellations or transfers. Purdue Pesticide Programs reserves the right to cancel programs at any time. Purdue University is not responsible for costs incurred due to cancellation. Parking is free of charge at all training sites except for Core training at the Convention Center ($26) on January 4, 2017.

Study MaterialsYou are encouraged to order a study manual ($30 ea) for each program for which you register. Training is geared toward those who have studied the manual prior to training. There are NO refunds on study manuals.

Program ScheduleTraining programs begin at 8:30 a.m. (local time). Attendees should arrive between 7:30 and 8:25 a.m. to finalize registration. Programs conclude at approximately 3:30 p.m., with the exam offered immediately after. All programs are held at the William Daniel Turf Center, 1340 Cherry Lane, West Lafayette, IN 47906, unless otherwise indicated. Note that these programs are for initial certification ONLY. Recertification credits will not be awarded.

Examination and Photo IdentificationThe Office of Indiana State Chemist requires that all persons taking a certification exam present a government issued photo ID. This includes any valid state driver license, military identification, passport, state issued identification card, or federal agency identification. No other identification will be accepted.

Remember to bring a basic handheld calculator for use during the examination (cell phone use is prohibited during testing).

Purdue University is an equal access/equal opportunity institution.

[Circle which training session(s) you will attend]

To RegisterMail form with payment to: Purdue Extension The Education Store 301 South 2nd Street Lafayette, IN 47901 Phone: 765/494-6794

orFax form with credit card or P.O. information to: 765/496-1540

To register on-line: https://mdc.itap.purdue.edu/wk_group.asp?wk_group=Pesticide

For More Information

For conference information, contact Cindy Myers Purdue Pesticide Programs 915 W. State Street West Lafayette, IN 47907-2054 Phone: 765/494-4566 or 888/398-4636 E-mail: [email protected]

For program content and certification information, contact Andrew Martin Purdue Pesticide Programs 915 W. State Street West Lafayette, IN 47907-2054 Phone: 765/494-4567 or 888/398-4636 E-mail: [email protected]

or go to:

www.ppp.purdue.edu/certification.html

Purdue Pesticide Programs will not permit electronic re-cording, either audio or video, of any portion of pesticide applicator training conducted under their direction.

(CW-2017-C) January 4, 2017 CORE Convention Center, Indianapolis

(CW-2017-C) February 7, 2017 CORE William Daniel Turf Center

(CW-2017-C) February 8, 2017 CORE William Daniel Turf Center

(CW-2017-C) February 15, 2017 CORE The Palms Banquet & Conference Center, Plainfield

(CW-2017-3a) February 16, 2017 Category 3a William Daniel Turf Center Ornamental

(CW-2017-1) February 20, 2017 Category 1 William Daniel Turf Center Agriculture

(CW-2017-3b) February 21, 2017 Category 3b William Daniel Turf Center Turf

(CW-2017-6) February 22, 2017 Category 6 William Daniel Turf Center Industrial Weed

(CW-2017-7a) March 1, 2017 Category 7a William Daniel Turf Center Industrial Pest

(CW-2017-C) March 2, 2017 CORE William Daniel Turf Center

(CW-2017-C) March 9, 2017 CORE William Daniel Turf Center

CW-2017-C) March 14, 2017 CORE William Daniel Turf Center

(CW-2017-3b) March 15, 2017 Category 3b William Daniel Turf Center Turf

(CW-2017-1) March 16, 2017 Category 1 William Daniel Turf Center Agriculture

(CW-2017-3b) March 23 2017 Category 3b William Daniel Turf Center Turf

(CW-2017-12) March 30, 2017 Category 12 William Daniel Turf Center WDI

(CW-2017-5) Contact 765-494-4567 Category 5 for more information Aquatics

(CW-2017-C) April 4, 2017 CORE William Daniel Turf Center

(CW-2017-C) April 6, 2017 CORE William Daniel Turf Center

(CW-2017-8) April 13, 2017 Category 8 William Daniel Turf Center Mosquito

(CW-2017-C) April 19 2017 CORE William Daniel Turf Center

(CW-2017-C) May 3, 2017 CORE William Daniel Turf Center

(CW-2017-C) June 1, 2017 CORE William Daniel Turf Center

(CW-2017-C) July 26, 2017 CORE William Daniel Turf Center

(CW-2017-C) September 13, 2017 CORE William Daniel Turf Center

(CW-2017-12) September 27, 2017 Category 12 William Daniel Turf Center WDI

(CW-2017-C) October 18, 2017 CORE William Daniel Turf Center

(CW-2017-C) November 15, 2017 CORE William Daniel Turf Center

(CW-2017-C) December 7, 2017 CORE William Daniel Turf Center

Registration Form (Please type or print clearly)

Name _________________________________________

Company ______________________________________

Telephone (_____) _____________________________Mailing Address (Training manuals will be sent to this address. No P O Box numbers, please)

__________________________________________________________________________________________________________________________________________City __________________________________________State _______________ Zip _______________________E-mail ________________________________________

Auxiliary aids and services are required due to a disability. Please contact this registrant at the above phone number.

1) Please send me a training manual for the program(s) indicated ($30.00 each) $___________

2) Shipping Rate (see table below) $___________3) Indiana sales tax (add lines 1 and 2 above and multiply by .07) $___________4) Training registration fee ($60.00 each) $___________Total amount enclosed (add lines 1 through 4 above) $___________

Shipping rate

$ 25.01 - $ 74.99 $ 8.35 $ 75.00 - $ 99.99 $12.85 $ 100.00 - $ 199.99 $16.85

(Payment or Purchase Order Number is required prior to attending the program.)

Enclosed is a check or money order payable to

Purdue University.

Enclosed is a purchase order.

P.O. Number: ________________________________

Charge to (check one):

MasterCard VISA Discover

Account Number ________________________________

Exp. Date_______ CVV Code ______ Zip Code______

Signature ______________________________________

P e s t i c i d e A p p l i c a t o r T r a i n i n g , 2 0 1 7

Register only one person per form. You may photocopy this form as needed.

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