09-137 C.M.R. ch. 23, § 1.10 - Course Instructor Application Form

An application form is to be filled out by each candidate wishing certification as a CTL Safety Instructor; documentation of prerequisites to accompany application. The following information is requested:

A. Name and legal address of applicant.
B. Date of birth of applicant.
C. Current CTL permit number.
D. Explanation of experience in Instruction/Teaching.
E. Course curriculum to be used.
F. Signature of applicant attesting all information to be true and correct.

FEE SCHEDULE:

Initial application Renewal application

1985 $12.00 $7.00

1986 $13.00 $8.00

1987 $14.00 $9.00

These prices should remain the same unless legislative action is taken.

Notes

09-137 C.M.R. ch. 23, § 1.10

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