Proctor Application Form

I certify that I, or the company I represent, currently have an active annual MACS membership in good standing.

Name

First NameLast Name

Last 4 Digits of Social Security #

MACS Certification #

You must be 609 certified before your application can be processed.

Please check below if you have not been certified by the MACS Program in the last 3 years and require an updated 609 certification.

Company

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Describe your qualifications to become a MACS Certification Proctor/Trainer (teaching experience, number of years in the automotive air conditioning industry, etc....

Signature

I am applying to become a MACS Proctor to administer the 609 Certification Program for Refrigerant Recovery and Recycling. I have reviewed the MACS Proctor Guidelines and I agree to ONLY use MACS certified materials according to those guidelines. I further agree to conduct training and testing as required by MACS and as detailed in those guidelines. I acknowledge that any misuse of these materials, or any complaints received by MACS regarding my implementation of the program, may be investigated by MACS, which may take any action it deems appropriate. At no time while acting as a MACS Trainer/Proctor will I endorse any specific manufacturer of MVAC Service equipment or their products. I understand that any hands-on demonstration of the proper use of MVAC Service equipment in the course of training will not include any comparisons between products. While conducting training and testing with the MACS Technician Training and Certification Program for Refrigerant Recovery and Re-cycling, I will only use UL listed and SAE certified equipment. By signing this agreement, I agree to conduct the program as outlined by MACS, and agree to protect the integrity of the program by controlling distribution of the test to participants only, by not photo-copying and distributing the test to unauthorized persons and by taking any other measures necessary to see that the training/testing program is administered within the guidelines MACS has provided. I understand that failure to comply with these guidelines may result in MACS revoking my privileges to participate in the MACS Proctor Program. MACS reserves the right to modify its Proctor Program and/or revoke proctor privileges at any time as it deems necessary.

My Products

Digital

Download of the digital version of the 609 Certification presentation and trainer's manual.

$65.00 Language

Additional Printed Materials (check to select options)

In an effort to be more environmentally friendly we are recommending we recommend downloading the study manual whenever possible. Please mark how many of each item you would like MACS to ship.

Free

Printed Materials	Study Manual
Study Manual
Test

Total

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MACS Proctor/Trainer Application

My Products*

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My Products