Multi-State Pesticide Recertification Registration
Register for pesticide recertification sessions across multiple states. Please provide your information and select the states for which you are seeking recertification. Some states are now requiring birth dates as well as last four digits of your social security number. As more states move to those requirements, we are asking for that information from all registrants. Thank you.
Name
*
First Name
Middle Name/NMI if none
Last Name
Suffix
Email Address. This email is the address the webinar link will be sent. You must have access to this email and the link will be sent to this email for the webinar date your choose below.
*
Confirmation Email
Please confirm email
Which date do you wish to attend webinar? Choose one.
Wednesday, March 4
Thursday, March 5
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
LAST 4 digits of Social Security
*
Company Name/Employer
Pesticide License Number
*
States for Recertification. This is a RE-certification webinar, so please only select states in which you are currently certified. (select all that apply)
*
Alabama
Delaware
District of Columbia (DC)
Georgia
New Jersey
New York
North Carolina
Indiana
Kentucky
Maryland
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
West Virginia
Other
Attendance & Participation Terms and Conditions: Each attendee must register for this course separately. NO group registrations. Each registrant must participate from their own computer and use a unique email address which is the same you used to register here. Multiple logins from one computer or multiple uses of the same email address are not permitted. At random intervals (at least three times during the class), a short quiz will be administered to verify continuous attendance. Failure to participate may result in loss of credit. Webinar will begin promptly at 7:45 am EST. Anyone signing in after the 7:45 start time will NOT receive credit for the course. Some states require a photo ID or a code to be sent during event. Please remain signed in during the webinar and look for emails or additional requirements and instructions for your recertification. I have read and agree to the Attendance and Participation Terms and Conditions
*
YES
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