Control Training
Resume:
Georgia Department of Agriculture
** ****** ****** ****, **. Drive, Room 242
Atlanta, Georgia 30334-4201
Gary W. Black
Commissioner
Application for Structural Pest Control Commission Approved Instructor
To be considered, the applicant must provide the Commission with evidence of his or her qualifications
to meet one of the following categories:
PhD. in Education or Entomology or related Science from a recognized college or university.
I.
Education & Experience A degree from a recognized college or university with advanced
II.
training in Entomology, Sanitary, Education, Law or Public Health and two of the following:
a. Experience conducting ongoing training within the last two years or successful
completion of an approved train-the-trainer program.
b. Five years of experience as a pest control operator certified in a category related to the
subject being presented.
c. One year of experience in one or more of the following:
i. Research in the field of pest control under the supervision of a university or
government agency.
ii. Legal experience in matters related to structural pest control
iii. Regulatory affairs in the field of structural pest control
Extensive Experience (a, b & c)
III.
a. Experience conducting ongoing training within the last two years or successful
completion of an approved train-the-trainer program.
b. Five years of experience as a pest control operator certified in a category related to the
subject being presented.
c. One year of experience in one or more of the following:
i. Research in the field of pest control under the supervision of a university or
government agency.
ii. Legal experience in matters related to structural pest control
iii. Regulatory affairs in the field of structural pest control
Training & Pesticide Industry Experience (a & b)
IV.
a. Experience conducting ongoing training within the last two years or successful
completion of an approved train-the-trainer program
b. Current employment with a registrant or distributor of pesticides used in the pest control
industry for the last two years
Training & Practical (a & b)
V.
a. Two years of work experience with primary responsibility conducting training in the pest
control industry or successful completion of an approved train-the-trainer program.
b. Practical training program to be evaluated by a designated Commission committee. This
topic will be assigned and the program will be evaluated on meeting training objectives.
Advanced Train-the-trainer Program (a & b)
VI.
a. Five years of experience as a pest control operator certified in a category related to the
subject being presented.
b. Successful completion of an approved advanced train-the-trainer program.
Based on your qualifications for application, circle applicable category I, II, III, IV, V or
IV. Complete the application and attach your resume.
SPCS -10-08 Instructor Application
Trainer/Instructor Experience
NAME
ORGANIZATION
ADDRESS
TELEPHONE FAX
Education:
Name of Institution Location Dates Attended Type of Degree
Train-the-Trainer Program:
Name of Institution Location Dates Attended
Work Experience in Pest Control
From Employer
Month/Year Address
Position
To Responsibilities
Month/Year
_
Pesticide License Number and State
License Period: From To
Category(s) of certification
SPCS -10-08 Instructor Application
Trainer/Instructor Experience
Signature of Applicant Date
If you have any questions about this procedure, you may contact Derrick Lastinger at
404-***-**** or abpexo@r.postjobfree.com
Upon consideration and approval by the Georgia Structural Pest Control Commission,
notification will be mailed to the applicant.
All applications for course credit approval should be sent to:
Georgia Structural Pest Control Commission
Attention: Derrick Lastinger
19 Martin Luther King, Jr., Drive, Room 242
Atlanta, GA 30334-4201
Approval: YES NO
Reason:
Signature Date
SPCS -10-08 Instructor Application
Contact this candidate