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Home My WebLink AboutR. Allen, E. Hach, W. Ingamells, J. Schmitz, G. Svoboda, C. Widdel C. Harn, N. Schissel, G. Tate - Ornamental and Turfgrass Applicators Class - 3/4/2020TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. S�T/`AFF ONLY Kr LINE ITEM USED FY +Z2V BUDGETED 3 O0 f (Iva EXPENDED YTD /(Sl y'� 535` t THIS REQUEST lql a' LEFT AFTER THIS 9;�"% e-1 REQUEST ;24X � /IIS L7• l DATE r�,� iinnl - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): DATE: F� ,1C4'v4aL' VW,40' MW Roger Allen, Ed Hach, Wade Ingamells, Jordan Schmitz— 02/07/2020 Park Greg Svoboda, Collin Widdel — Downtown Casey Ham, Nick Schissel, Glenn Tate- Golf NDESTINATION: Waterloo IA AME OF CLASS I MEETING: Ornamental and Turfgrass Applicators Class DEPARTURE POINT IF NOT WATERLOO: DATE: 03/04/2020 RETURN DATE: 3/4/2020 3URPOSE OF TRAVEL/TRAINING: To attend Pesticide Applicator class to maintain license as required in this job position. Early registration of $35 is due before February 26, 2020. :(S) OF MEETING: 3/4/2020 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: 010-37-4120-1346 $105 010-37-4110-1346 $70 ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-4100-1346 $140 LODGING TAXI X GRANT REIMBURSABLE MEALS PARKING YES NO 315.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGEIFUEL MISCITOLLS YES NO TOTAL FOR ALL: $ 315.00 TOTAL: $ 35.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE rITY OF WATERLOO DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 I APPROVE THIS TRAVEL REQUEST • DATE Ornamental and Turfgrass Applicators Registration Continuing Instruction Course (CIC) in Categories 30, 3T, 30T, and 10 Wednesday, March 4, 2020, 9:00 a.m. - 11:30 a.m. Only one registration per form. Please duplicate for additional registrations. will attend the session at Bla,c�G 96LY h County. Name Company L)a�orloo L63 sN, r0CPeS Company Mailing Address* 1101 0aw. City/State/Zip l,Jo_. Xe 0 --TA 501O1 Fax ( 3 �S ) .qi-�A-Iq2 Work Phone ( 31st) 2M - 9370 Email *Has your address changed? Please write the Iowa Department of Agriculture and Land Stewardship, Wallace Building, Des Moines, IA 50315 with your new address, so you continue receiving notification of pesticide applicator courses. Iowa State University requests this information for the purpose of preregistering you in a conference. No one outside the university, with the exception of participants in this conference, is routinely provided this information. If you fail to provide the required information, we cannot promise accurate registration. (Reference: Iowa Code, Chapter 22.11; Iowa Fair Information Practices Act.) TO REGISTER Send the completed form with payment to your local extension office where you will attend. Additional registration forms are available on the Web at www.extension.iastate.edu/psep or your local county extension office. Make check payable to the local county extension office (e.g., "Adams County"). Write the names of all individuals on the check if only one check will pay the registration fee for several individuals. REGISTRATION FEE Early Registration, $35, due by February 26, 2020 Late Registration, $45, (less than seven days prior to the program or on-site registration) after February 26, 2020. PAYMENT TO LOCAL COUNTY OFFICE MUST BE ENCLOSED WITH FORM. The fees for service will be used to off -set direct expenses and to support the Agriculture & Natural Resources County Extension Program. REGISTRATION IS COMPLETE UPON PAYMENT. Ornamental and Turfgrass Applicators Registration Continuing Instruction Course (CIC) in Categories 30, 3T, 30T, and 10 Wednesday, March 4, 2020, 9:00 a.m. - 11:30 a.m. Who Should Attend This course is designed for certified commercial pesticide applicators needing yearly certification credits in the following categories: • 30 - Ornamental Pest Control • 3T - Turf Pest Control • 30T - Ornamental and Turf Pest Control • 10 - Demonstration and Research Program 8:30 a.m. Registration at local site. To receive credit, you must be seated prior to 9:00 a.m. 8:55 a.m. Local Welcome. 9:00 a.m. Introduction. Program to include: • Safe Handling and Storage of Pesticides • Laws and Regulations • Personal Protective Equipment • Turfgrass management topics • Emerald ash borer update • Overview of the North Central IPM Center 11:30 a.m. Adjourn This program is sponsored by Iowa State University Extension Pesticide Safety Education Program (PSEP). If you have questions about program content, please call us at (515) 294-1122. If you have special needs or need closed captioning for viewing the program, please contact the site you will attend. Iowa State University Extension and Outreach does not discriminate on the basis of age, disability, ethnicity, gender identity, genetic information, marital status, national origin, pregnancy, race, color, religion, sex, sexual orientation, socioeconomic status, or status as a U.S. veteran, or other protected classes. (Not all prohibited bases apply to all programs.) Inquiries regarding non-discrimination policies may be directed to the Diversity Advisor, 2150 Beardshear Hall, 515 Morrill Road, Ames, Iowa 50011, 515-294-1482, extdiversity@iastate.edu. All other inquiries may be directed to 800-262-3804.