List all instructors on your payroll, at the time of application, who will be involved in any asbestos training. (Copy and use additional sheets, if necessary). YOU MUST ATTACH ONE COPY OF EACH INSTRUCTOR'S MOST RECENT RESUME IF THE INSTRUCTOR HAS NOT BEEN PREVIOUSLY APPROVED. NOTE: If additional instructors are hired during the certificate year, you must submit the instructor's resume and obtain approval before that instructor may teach any asbestos course. PART III List Each Topic Instructor Will Teach (if not teaching ALL Topics) PART I Instructor's Name New Hire Previously Approved 1 1. 10. Instructor Will Teach All Courses and All Topics Currently Approved 2. 11. Yes --> Proceed with additional instructors or go to Schedule II 3. 12. No --> Complete Parts II and III for this instructor 4. 13. PART II Check below each course Instructor will teach (if not teaching ALL Courses): 5. 14. Initial Course Course Name Review Course 6. 15. Inspector Management Planner 7. 16. 1 Day 2 Day Operations/Maintenance Project Designer 8. 17. Spanish Speaking Worker Supervisor 9. 18. Worker PART III List Each Topic Instructor Will Teach (if not teaching ALL Topics) PART I Instructor's Name New Hire Previously Approved 2 1. 10. Instructor Will Teach All Courses and All Topics Currently Approved 2. 11. Yes --> Proceed with additional instructors or go to Schedule II 3. 12. No --> Complete Parts II and III for this instructor 4. 13. PART II Check below each course Instructor will teach if not teaching ALL courses: 5. 14. Initial Course Course Name Review Course 6. 15. Inspector Management Planner 7. 16. 1 Day 2 Day Operations/Maintenance Project Designer 8. 17. Spanish Speaking Worker Supervisor 9. 18. Worker
List all instructors on your payroll, at the time of application, who will be involved in any asbestos training. (Copy and use additional sheets, if necessary). YOU MUST ATTACH ONE COPY OF EACH INSTRUCTOR'S MOST RECENT RESUME IF THE INSTRUCTOR HAS NOT BEEN PREVIOUSLY APPROVED. NOTE: If additional instructors are hired during the certificate year, you must submit the instructor's resume and obtain approval before that instructor may teach any asbestos course. PART I Instructor's Name New Hire Previously Approved PART III List Each Topic Instructor Will Teach (if not teaching ALL Topics) 1 1. 10. Instructor Will Teach All Courses and All Topics Currently Approved Yes --> Proceed with additional instructors or go to Schedule II No --> Complete Parts II and III for this instructor PART II Check below each course Instructor will teach (if not teaching ALL Courses): 2. 11. 3. 12. 4. 13. 5. 14. Initial Course 1 Day 2 Day Course Name Inspector Management Planner Operations/Maintenance Project Designer Spanish Speaking Worker Supervisor Worker Review Course 6. 15. 7. 16. 8. 17. 9. 18. PART I Instructor's Name New Hire Previously Approved PART III List Each Topic Instructor Will Teach (if not teaching ALL Topics) 2 1. 10. Instructor Will Teach All Courses and All Topics Currently Approved Yes --> Proceed with additional instructors or go to Schedule II No --> Complete Parts II and III for this instructor PART II Check below each course Instructor will teach if not teaching ALL courses: 2. 11. 3. 12. 4. 13. 5. 14. Initial Course 1 Day 2 Day Course Name Inspector Management Planner Operations/Maintenance Project Designer Spanish Speaking Worker Supervisor Worker Review Course 6. 15. 7. 16. 8. 17. 9. 18.
Asbestos%20Training%20%20Application%20MDE240_TP-116.docx