Educator Experience Form - North Carolina Environmental Education Certification Program
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1EE Form
N.C. Environmental Education
Certification Program
EDUCATOR EXPERIENCE FORM
Name:
___________________________________________________________
Only one experience per form, with a 10-hour maximum of credit for any one experience.
Questions? Email eecertificationnc@lists.ncmail.net or call 919-707-8124 or 8125.
Indicate hours in one of the following criteria:
I _____
Criteria I, Instructional Workshop
Basics of EE, Methods of Teaching EE or an approved Criteria I elective.
See for the approved list. You must have a total 70 hours
Hours
(which must include Basics and Methods) in this criteria.
II ____
Criteria II, Outdoor Experience.
Programs, workshops, classes, etc. held actively outside
(at least 60%) and led by a qualified instructor. 50 hours are required in this criteria.
Hours
III ____
Criteria III, Knowledge of Resources.
EE-related seminars, conferences, lectures, programs, etc.
Can be held indoors, outdoors or as webinars if they relate directly to EE. You must have 20 Knowledge
Hours
of Resource hours in Critieria III.
Criteria III, Site Visit.
If this is a site visit, indicate hours by the appropriate region below. A site visit
consists of a visit to a recognized N.C. Environmental Education Center and should involve activities such
as viewing educational exhibits, exploring interpretive trails or gardens and speaking with educational staff.
You must have a total of 10 site visit hours in Criteria III. Five of those hours must be outside of your home
region and the remaining five can be in your home region.
_____ Coastal Hours
_____ Piedmont Hours
_____ Mountain Hours
_____
Continuing Education Credit.
CE credits are only for individuals already EE certified. CE credits
can be Criteria I or II activities and can also be EE-related instructor-led seminars, lectures,
webinars or conference sessions. Site visits to EE Centers, passive tours, and teaching or
volunteer hours cannot be used for CE credit. 50 hours of CE credits are required every 5 years.
Activity Details:
Title of Activity
(Date of Activity M/D/Y)
____/____/______
Location of Activity
Brief Description of Activity
For Program Instructor or Interpreter Only:
Print
Name and Title
Signature
(Date M/D/Y)
____/____/______
Phone Number (
)
-
Email
Email, mail or fax this form to:
eecertificationnc@lists.ncmail.net; N.C. Office of Environmental Education and Public
Affairs; 1601 Mail Service Center; Raleigh, NC 27699-1601; Fax: 919-715-5161
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