Request for CEC Approval Form - NADCA
Request for CEC Approval Form - NADCA
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