atfs_inspector_workshop_registration_form_updated_012018.doc...

Inspector Workshop Registration Form
All foresters who attend inspector training workshops must complete, sign and submit this form prior to
workshop participation. Its primary purpose is to verify that trained inspectors meet the minimum
requirements established by the American Tree Farm System (ATFS). Up to date contact information is crucial
for ensuring timely receipt of your training certificate and ongoing communications from the state committee
and national office.
Date of workshop: ______________ Location: __________________________________________
Workshop Facilitator(s): ____________________________________________________________
Your Name: _______________________________________________________________________
Last Name First Name Middle Initial
Address: ____________________________________________________________________
City: __________________________ State: ____ Zip: ___________ County: _______________
Alternate Address: ___________________________________________________________
City: __________________________ State: ____ Zip: ___________ County: _______________
E-mail address: ____________________________ Employer/Organization __________________
Primary phone: (____)______________ Secondary phone: (____)______________
Primary Inspection State_______ Other Inspection State(s)_______________________
County Preferences ______________________
V
ERIFICATION OF
E
LIGIBILITY
:
College/University Program of Study (Major) Degree(s) Date(s)
I have been an Inspector since: _________
______ I have already taken the certifier training course. I am here today to refresh my training.
New Inspectors must meet one of the following requirements:
______I graduated with a B.S. or higher forestry degree from a four-year program accredited by the Society
of American Foresters.