This application has five (5) sections that must be completed in full.
Section One: General Information
Section Two: Program Requirements
Section Three: Program Administration
Section Four: Student Learning Outcomes
Section Five: Application Fee Plan
Provide as much documentation as possible, including attachments and website URLs where applicable.
This fillable form can be saved and returned to by saving the URL that is provided.
For assistance and prior to submission, contact:
[email protected]
Please list all of your partners and attach letters where possible.
Documentation required
List the accredited postsecondary institution, contact name and contact information.
Attach a letter from this institution that details their certification of the applicants program and the instructor criteria used in the certification program for their academic review to ensure that instructors are qualified and effective.
Documentation required:
List the required and elective courses and their hours that comprise the certification program
In each course define the way the course is taught.
Documentation required
Detail the type of exam or demonstration of competency used in each course and the final exam
Documentation required
Describe in detail the recertification requirements (hours, time period and classroom hours) and process. Include the process to pre-approve hours, and who pre-approves the hours, types of courses or meeting appropriate, how to report hours, and who maintains the recertified list.
Documentation required:
Describe and define the alternate pathway program, requirements, implementation date, exams, entrance requirement, and courses.
Documentation required:
Define who is the program administrator or team. Describe the roles and responsibility of the program administrator or team, including
Documentation required:
Describe and define the roles and responsibility of the Certification Committee. List the committee members by the categories they represent to show the committee meets the broad based criteria above.
Using the summary Excel spreadsheet provided on the website, indicate in which class, course or day each SLO is covered.
Documentation required:
Make check payable to National Recycling Coalition / NSCB