Form Mde/wma/bww/trn - Application For Training Program Approval Page 2
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2Information addressing the following topics MUST be provided for the application to be processed.
5) Describe the course, and state its learning objectives - Learning objectives should begin with "At the end of this training,
the participant will be able to..."
6) Provide an outline of the subjects covered, and show the time allowed for each major topic - (Attach a copy of student
handouts, or cite references used).
7) Describe the training methodology used - (e.g. hands-on, practice, lecture/discussions, case histories, demonstrations,
problem solving, laboratory exercises).
8) List the job skills, knowledge or prerequisites expected of the participants.
9) Identify the instructor's pertinent qualifications - (Include the instructor's name, address, telephone number, and
pertinent licenses, training experience or work experience).
10) Describe the techniques, if any, used to evaluate the participants - (Include a copy of each examination and the grading
used).
TO THE APPLICANT
This application is the first step in having a training event approved for use by operators and superintendents in meeting the
pertinent requirements for certification renewal. Application may be submitted either before or after the training event
occurs. Training sponsors or instructors may, however, find it advantageous to obtain prior approval from the Board so that a
training event can be advertised as "approved training." The Board attempts to finalize all actions on these training
applications within 90 days of submittal. All completed applications should be mailed to the attention of Mr. Lawrence
Robinson at the address on the front of this application.
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Use This Space for Additional Information or Comments:
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MDE/WMA/BWW/TRN
2 of 2
Revision Date (3/06)
Recycled Paper
TTY Users 1-800-735-2258
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