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IGSHPA Continuing
Education Credit Form
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Accreditation for
IGSHPA accredited installers is valid for three years. During those three
years an installer must accumulate eight points to renew the accreditation.
The points can be accumulated in three ways – through employment, membership
in an approved organization and/or education. Please complete the sections
below as they apply to your accreditation renewal, then sign and return.
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1. EMPLOYMENT
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The installer may
accumulate 4 points by remaining continually employed for three years in the
combined geothermal heat pump installation, heating, ventilation, and
air-conditioning field. For those with less than three years of employment,
points are accumulated at the rate of 1.33 points per year.
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Employer
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Dates of Employment
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Years employed
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Employer’s Address
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Total Points (Number
of years x 1.33):
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2.
MEMBERSHIP
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The installer may
accumulate points by continuous membership in IGSHPA, NGWA, ASHRAE, or
similar organization. The points are accumulated 1 point per year of
membership. Membership in more than one organization will apply toward
accumulation of multiple points per year.
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Dates of Membership
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# of years
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<--Provincial/State
assoc. or other
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(use slider to
indicate years)
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Dates of Membership
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# of years
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<--Provincial/State
assoc. or other
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(use slider to
indicate years)
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Dates of Membership
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# of years
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<--Provincial/State
assoc. or other
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(use slider to
indicate years)
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Total Points (Number
of years x 1):
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3. EDUCATION
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The installer may
accumulate points by participation in continuing education or professional
activities in the combined geothermal heat pump and HVAC field. 2 points can
be accumulated for each college credit hour. 2 points can also be accumulated
for each 20 contact hours in seminars. Total contact hours times 0.1 = CEU
credit points if less than 20 hours attended.
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Vocational
or College Training NOTE: These are classes taken since your last
renewal
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Course Name
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School or University
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Instructor
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Location
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Certificate award?
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Dates Completed
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Number of Credit Hours
Received
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Total Points (Credit
Hours x 2):
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EDUCATION
(CONTINUED)
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Conference
Seminars/Sessions Attended
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NOTE:
Seminars since your last renewal. If there are too many seminars
to list, they may be combined.
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Seminar/Session Name
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Hours
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Date(s)
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Location
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Seminar/Session Name
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Hours
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Date(s)
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Location
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Seminar/Session Name
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Hours
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Date(s)
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Location
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Seminar/Session Name
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Hours
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Date(s)
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Location
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Seminar/Session Name
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Hours
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Date(s)
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Location
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Total Points (Contact
Hours x 0.1):
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TOTAL CEUs
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Total CEUs:
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CONTACT INFORMATION /
ELECTRONIC SIGNATURE
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Name
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E-mail
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Date
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Signature
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By checking the box
below I acknowledge that the information above is accurate to the best of my
knowledge. I understand that submitting this information electronically is
the equivalent of signing this form.
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Acknowledgement of above statement
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INSTRUCTIONS:
Once the form is complete, click on the "Submit" button at the
bottom to transfer form to IGSHPA. To return for payment, click on the IGSHPA
Square Site button below.
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https://igshpa.square.site
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<--Click here
after form has been submitted
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