Form Mo 780 1892 PDF Details

The Missouri Department of Natural Resources' Water Protection Program plays a crucial role in ensuring that individuals operating within the water treatment sector are adequately trained and certified. Through its Operator Certification Section, it provides a structured process for the approval of training courses aimed at these professionals. Specifically, the MO 780 1892 form serves as the cornerstone of this process, requiring training providers to seek approval for each training session and location well in advance of the proposed date. This detailed form not only gathers information about the sponsoring organization and contact person but also requires specifics about the training course itself, including the course title, location, dates, instructors, and a comprehensive course outline. The form underlines the importance of structured, relevant training, indicating whether the session is open to all operators or intended for in-house personnel only, and also delves into the materials and methods to be used throughout the training. Additionally, it addresses the acceptance of vouchers for payment in certain contexts, underscoring the program's flexibility in facilitating access to education for water treatment professionals. By submitting this form at least thirty days prior to the intended training date, organizers play a part in maintaining the high standards set by the Missouri Department of Natural Resources for water quality management and safety.

QuestionAnswer
Form NameForm Mo 780 1892
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesoverheads, audiovisual, MISSOURI, opcertdnr

Form Preview Example

MISSOURI DEPARTMENT OF NATURAL RESOURCES

WATER PROTECTION PROGRAM OPERATOR CERTIFICATION SECTION

REQUEST FOR TRAINING COURSE APPROVAL

Complete one form per training session and location. This form should be sent to this office at least 30 days prior to the date of the proposed training to receive approval. Fax the form to 573-751-0678, e-mail the form to opcert@dnr.mo.gov or mail the form to the address below. If you have any questions, contact the Operator Certification Section at 573-751-1600 or 1-800-361-4827 or by mail: Missouri Department of Natural Resources, Operator Certification Section, P.O. Box 176, Jefferson City, MO 65102.

PART 1: CONTACT PERSON INFORMATION (PLEASE PRINT)

SPONSORING ORGANIZATION

CONTACT

ADDRESS

CITY, STATE

ZIP CODE

TELEPHONE NUMBER WITH AREA CODE

FAX WITH AREA CODE

E-MAIL

List the telephone number with area code that is to be published for ENROLLMENT information:

PART 2: COURSE INFORMATION

(CHECK ONE)

TRAINING IS OPEN TO ALL OPERATORS. TRAINING IS FOR IN-HOUSE PERSONNEL ONLY.

COURSE TITLE

ADDRESS OF TRAINING LOCATION

CITY , STATE

COUNTY

ZIP CODE

DATE(S) COURSE WILL BE HELD AT THIS LOCATION

TOTAL DAYS

NAME OF INSTRUCTOR(S)

PART 3: BACKGROUND MATERIALS

A Course Outline is required for each course submitted for approval. Please submit a course outline showing the topic(s) to be presented and the time allotted for each topic, including beginning and ending times. All breaks and meal times must be noted. Indicate the anticipated number of renewal or training hours for each of the following (Final approval may not concur ):

Drinking Water Treatment :

Wastewater Treatment:

 

 

Distribution System:

Concentrated Animal Feeding Operation:

 

 

MOST RECENT COURSE NUMBER

ATTACH THE FOLLOWING ITEMS AND CHECK THAT EACH IS ATTACHED.

Course outline showing topics and time allocated for each with beginning and ending times

The names of all instructors and each instructor’s qualifications including any certification in Drinking Water Treatment, Distribution, Wastewater or Concentrated Animal Feeding Operations.

Copy of all handouts.

List of all audiovisual materials to be used such as videotapes, slides, slide/tape/electronic presentations, films and overheads.

PART 4: VOUCHERS – DRINKING WATER TREATMENT & DRINKING WATER DISTRIBUTION TRAINING ONLY

DO YOU WISH TO ACCEPT VOUCHERS AS PAYMENT FOR THIS COURSE?

YES NO

COST OF THE COURSE

Not all courses will be eligible to accept vouchers. You will receive notification of this course’s eligibility to accept vouchers with your course roster. If this course is eligible to accept vouchers, additional information about vouchers will also be included with the course roster. If there are any questions, contact the Operator Certification Section.

NAME OF PERSON COMPLETING REQUEST

DATE

MO 780-1892 (10-10)

How to Edit Form Mo 780 1892 Online for Free

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It really is easy to complete the document using this detailed guide! Here is what you need to do:

1. First, once completing the ENROLLMENT, start in the page that contains the next blank fields:

Filling out segment 1 in state of missouri dnr form

2. Soon after the prior part is completed, proceed to type in the suitable information in these: DATES COURSE WILL BE HELD AT THIS, NAME OF INSTRUCTORS, PART BACKGROUND MATERIALS, TOTAL DAYS, A Course Outline is required for, Drinking Water Treatment, Wastewater Treatment, Distribution System, Concentrated Animal Feeding, MOST RECENT COURSE NUMBER, ATTACH THE FOLLOWING ITEMS AND, Course outline showing topics and, Distribution Wastewater or, Copy of all handouts List of all, and PART VOUCHERS DRINKING WATER.

Completing segment 2 of state of missouri dnr form

It's very easy to get it wrong when filling out the NAME OF INSTRUCTORS, consequently make sure to reread it before you'll submit it.

3. Completing Not all courses will be eligible, NAME OF PERSON COMPLETING REQUEST, and DATE is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

DATE, NAME OF PERSON COMPLETING REQUEST, and Not all courses will be eligible inside state of missouri dnr form

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