Documentation of Apprentice Training



Apprentice name:

 

Apprentice address:





Instructor's name:

 

Instructor's certification identification number: C ___ - ___ ___ ___ ___ ___ ___

 

Certification Category(ies): _________

 

Date(s) of instruction or observation:

 

Content of training and certification category:





Describe the evaluation concluding that the apprentice is competent to perform pesticide applications:










 

 

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Published by CALS 3/23/2000      Most recent verification: 3/14/2001
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