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Request for CEC Approval Form - NADCA

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REQUEST FOR <strong>CEC</strong> APPROVAL<br />

This <strong>for</strong>m should be used to request Continuing Education Credits (<strong>CEC</strong>s) <strong>for</strong> courses completed but not yet<br />

on the approved program list. Please return this <strong>for</strong>m with a detailed course description / course<br />

outline and proof of attendance to:<br />

<strong>NADCA</strong><br />

15000 Commerce Pky., Suite C<br />

Mt. Laurel, NJ 08054<br />

Phone: (855) GO-<strong>NADCA</strong> / (855) 466- 2322<br />

Fax: (856) 439-0525<br />

Email: membership@nadca.com<br />

SECTION 1 - COMPANY INFORMATION<br />

Name: ________________________________________________ Date: __________________<br />

Company: _____________________________________________ Phone: _________________<br />

Address: ______________________________________________________________________<br />

City, State, Zip: _____________________________________ Email: ______________________<br />

SECTION 2 – CRITERIA<br />

1.) Does this course include one or more of the four “Core Programs” that complement certification?<br />

____Yes ____ No<br />

If so, which ones? Please check off: ____Safety ____HVAC Cleaning ____IAQ Services ____HVAC<br />

2.) Was the course available to all <strong>NADCA</strong> members and not proprietary in nature? “Available” means that<br />

any course offered by any person or entity (Provider), to any <strong>NADCA</strong> member, must also be offered to<br />

all other <strong>NADCA</strong> members wishing to take said course. A course is considerable available even if the<br />

Provider charges one price <strong>for</strong> members and another price <strong>for</strong> non-members.<br />

____Yes ____ No<br />

3.) Is this the first time you are applying <strong>for</strong> this course in your ASCS recertification cycle?<br />

____Yes ____ No<br />

4.) Does the course con<strong>for</strong>m to <strong>NADCA</strong> Standards? ____Yes ____ No<br />

5.) If this is a request <strong>for</strong> <strong>CEC</strong> <strong>for</strong> an Industry Related Annual Meeting, were all of the “Core Programs”<br />

which complement <strong>NADCA</strong> Certification presented in some <strong>for</strong>m?<br />

____Yes ____ No<br />

SECTION 3 – COURSE LENGTH<br />

Course Length: <strong>CEC</strong>’s <strong>CEC</strong> <strong>Request</strong>ed<br />

(Check one)<br />

Less than 6 Hours 1 <strong>CEC</strong> __________<br />

6-8 hours (1 day course) 2 <strong>CEC</strong> __________<br />

9-12 hours (1.5 day course) 3 <strong>CEC</strong> __________<br />

13-16 hours (2 day course) 4 <strong>CEC</strong> __________<br />

Industry Annual Meeting (2 days or more) 4 <strong>CEC</strong> __________<br />

Semester Class (Industry Related) 4 <strong>CEC</strong> __________<br />

List of Approved <strong>CEC</strong> Programs on Next Page


APPROVED PROGRAMS FOR CONTINUING EDUCATION CREDIT<br />

<strong>CEC</strong>S<br />

Type of Course/Activity<br />

4 AABC Annual Meeting<br />

4 ACCA Annual Meeting<br />

4 Advanced Commercial Ventilation<br />

4 AEE Annual Meeting<br />

4 AIHA Annual Meeting<br />

4 AIHA At Home Learning Course *<br />

4 ASCR Convention<br />

6 ASCS Exam – Passed Exam to re-certify ASCS status<br />

4 ASHRAE Annual Meeting<br />

2 CPR Certification Course *<br />

1 CPR Recertification Course *<br />

4 Duct Cleaning Technology (AE)<br />

2 EPA Home Environmental Study<br />

2 First Aid Certification Course *<br />

1 First Aid Recertification Course<br />

4 HIE Trade Show<br />

4 IAQA Annual Meeting<br />

1 IAQA Regional Workshop<br />

4 ICVH Fall Symposium<br />

4 IKECA Annual Meeting<br />

4 Indoor Air (International Conference)<br />

4 Indoor Environment Review<br />

4 Mechanical Air Duct Cleaning Training<br />

4 MEHRC Environmental Hygiene Course<br />

4 Mid Atlantic Environmental Hygiene<br />

4 MSHA Certification Course *<br />

2 MSHA Recertification *<br />

6 <strong>NADCA</strong> Annual Meeting<br />

6 <strong>NADCA</strong> Educational Seminar<br />

6 <strong>NADCA</strong> Webinar *<br />

6 <strong>NADCA</strong> Technical Seminar<br />

6 or 2 <strong>NADCA</strong> Web-based Learning Quiz<br />

4 NAFA Annual Meeting<br />

4 NAFA Certification<br />

2 NAFA Recertification<br />

4 NCSG Annual Meeting<br />

4 NSF Conference on Indoor Air<br />

1-4 OSHA Course (Upon Review) *<br />

4 RSES Annual Meeting<br />

2 Safety Award Winner (<strong>NADCA</strong>) *<br />

4 Speaker on HVAC Cleaning at IAQ/HVAC Conference<br />

4 State Certifications: Asbestos, Lead, Hazwopper, 40 hrs. Training<br />

4 University of Tulsa Seminar (HVAC cleaning industry related)<br />

4 Pesticide Applicator License *<br />

1 Pesticide Recertification Workshops *<br />

2 Franchise Annual Meeting (<strong>for</strong> HVAC cleaning industry)<br />

Pinchin Environmental Courses:<br />

3 Asbestos Control in Buildings and Industry<br />

2 Hazards and Control of Mold in Buildings<br />

2 Indoor Air Quality<br />

Requirements:<br />

Any recertification course may apply only once during the ASCS recertification cycle.<br />

* = <strong>CEC</strong>s available at a local level

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