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Certificant PDH Log Certificants are required to complete 14-hours of professional development (PDH) every two (2) years to meet certification requirements. These are typically completed via participation in webinars, conference sessions, and/or classes that are aligned with the certification exam. According to the NGICP Policies and Procedures, the NGICP certification is valid for two (2) years. Certificants must apply for recertification and successfully demonstrate that they meet the recertification requirements prior to the recertification deadline. By signing below I hereby declare and understand that if my application is randomly selected for audit, I may need to provide additional information. I also understand that if I am awarded the recertification, my name, city, state and certification status will be listed on the NGICP website and third party individuals, organizations, and/or public requests will be given specific verification of the certification status. Certificant Contact Information Name: Organization: Address: City, State, Zip: Email: Signature: Total PDH Hours 2019: _____________ 2020: _____________ Please refer to the Instructions for Recording Your PDH Requirement as part of NGICP Recertification. Questions? Contact [email protected] 3054 Fite Circle, Suite 108, Rancho Cordova, California (279) 888-6911 www.envirocert.org www.ngicp.org

Certificant PDH Log - NGICP

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Page 1: Certificant PDH Log - NGICP

Certificant PDH Log

Certificants are required to complete 14-hours of professional development (PDH) every two (2) years to meet certification requirements. These are typically completed via participation in webinars, conference sessions, and/or classes that are aligned with the certification exam.

According to the NGICP Policies and Procedures, the NGICP certification is valid for two (2) years. Certificants must apply for recertification and successfully demonstrate thatthey meet the recertification requirements prior to the recertification deadline.

By signing below I hereby declare and understand that if my application is randomly selected for audit, I may need to provide additional information. I also understand that if I am awarded the recertification, my name, city, state and certification status will be listed on the NGICP website and third party individuals, organizations, and/or public requests will be given specific verification of the certification status.

Certificant Contact Information

Name:

Organization:

Address:

City, State, Zip:

Email:

Signature:

Total PDH Hours

2019: _____________ 2020: _____________

Please refer to the Instructions for Recording Your PDH Requirement as part of NGICP Recertification.

Questions? Contact [email protected]

3054 Fite Circle, Suite 108, Rancho Cordova, California (279) 888-6911

www.envirocert.org www.ngicp.org