HomeMy WebLinkAboutD. Drinovsky, G. Tate, R. Willis - Ornamental & Turfgrass Applicators Class - 3/5/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED
TRAVEL REQUEST FY_ BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original-Clerk/Finance Copy-De artment
NAME(S)AND POSITION(S): DATE:
Doug Drinovsky, Glenn Tate, Ron Willis Golf Maintenance II 01/27/2021
NAME OF CLASS/MEETING: DESTINATION: ISU Extension Office, Waterloo
Ornamental & Turfgrass Applicators class DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: i RETURN DATE: � / DATE(S) OF MEETING:
�_,T._�,fffYi�l 3. 5-�� 1 /.7/ Cil '
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: 010-37-41201364
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
35.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS 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 HEAD MAYOR
Z
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
Ornamental and Turfgrass Applicators Registration
Continuing Instruction Course (CIC) in Categories 30, 3T, and 30T
Wednesday, March , 2021, 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 k cu_e.4,�,�
• 3T - Turf Pest Control
• 30T - Ornamental and Turf Pest Control a cka55
• 10 - Demonstration and Research
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
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Ornamental and Turfgrass Applicators Registration
Continuing Instruction Course (CIC) in Categories 30, 3T, and 30T
Wednesday, March-3;2021, 9:00 a.m. - 11:30 a.m.
Mw c�ti 5
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.