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Home My WebLink AboutN. Schissel, G. Svoboda, C. Widdel - Ornamental & Turfgrasss Applicators Class - 3/5/2021 FINANCE DEPT. STAFF ONLY LINE ITEM USED G/a z-7 Viol) /3`P6 TRAVEL REQUEST FY,;�BUDGETED twvo _-- CITY OF WATERLOO EXPENDED YTD �q a THIS REQUEST LEFT AFTER THIS REQUEST 1p6 DATE ;70W /-,21 1.2I Original-Clerk/Finance Co -Department NAME(S)AND POSITION(S): DATE: Nick Schissel,Greg Svoboda,Collin Widdel Downtown Area 01/27/2021 Matainence II NAME OF CLASS/MEETING: DESTINATION: ISU Extension Office, Waterloo Ornamental & Turfgrass Applicators class DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING: 3A*2e2-. 3/5/�2C Zj 4 3) sJ�c z $3a 3)5)R0aJ PURPOSE OF TRAVEL/TRAINING: To attend Pesticide Applicator class to maintain license as required in the job description. Registration is $35 if paid by 2/24/2021 $45 if paid after 2/24 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-41101364 LODGING TAXI x GRANT REIMBURSABLE MEALS PARKING YES NO 35.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION MILEAGE/FUEL MISCJTOLLS YES NO TOTAL FOR ALL: $ 105.00 TOTAL: $ 35.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT'H D MAYOR DATE DATE K:\Shared Good ies\Forms\Travel Request Form January 2010 Ornamental and Turf rass A licators Registration Continuing Instruction Course (CIC) in Categories 30, 3T, and 30T Wednesday, March , 2021, 9:00 a.m. - 11:30 a.m. r Who Should Attend This course is designed for certified commercial pesticide applicators needing yearly certification credits in the following categories: • 30 - Ornamental Pest Control t4m_+u L"'�' • 3T - Turf Pest Control tt • 30T - Ornamental and Turf Pest Control a C1as5 -: ��oYe�s • 10 - Demonstration and Research '�5 �� Program 8:30 a.m. Check-in 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: • Application Equipment Use, Maintenance, and Calibration • Safe Application Techniques Including Pesticide Drift Reduction • Pests and Pest Management including Phytotoxicity as appropriate 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. This institution is an equal opportunity provider. For the full non-discrimination statement or accommodation inquiries, go to www.extension.iastate.edu/diversity/ext [jass size res�-ric�e� d,:e cc�+� . ns,C) 0-wice- w 11 kola a CIQ55 co Ornamental and Turfgrass Applicators Registration Continuing Instruction Course (CIC) in Categories 30, 3T, and 30T Wednesday, Nhwch3;2021, 9:00 a.m. - 11:30 a.m. Only one registration per form. Please duplicate for additional registrations. will attend the session at County. Name Company Company Mailing Address* City/State/Zip Fax ( ) Work Phone ( ) 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.) Preregistration is Required. Walk-ins are not guaranteed admission. 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 24, 2021 Late Registration, $45, after February 24, 2021 (less than seven days prior to the program or on-site registration). 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.