The PA-409 form serves as an essential document for the Texas Department of Agriculture, facilitating the process for pesticide continuing education course sponsorship either for new or for renewal applications. It outlines comprehensive sponsor and course information, including details such as course locations, dates, and topics, aiming to ensure that courses meet the standards for agricultural and structural continuing education units (CEUs). This document plays a pivotal role in maintaining the integrity and quality of pesticide education, thereby safeguarding public health and environmental safety.
In the realm of agricultural and structural pest management, continuing education is pivotal for professionals aiming to maintain their certifications up-to-date. The Texas Department of Agriculture facilitates this process through the PA-409 form, a comprehensive document designed for the recertification sponsorship of Pesticide Continuing Education Courses. Addressing the Texas Department of Agriculture's requirements, the form caters to both new applications and renewals for agricultural and structural courses, thereby comprising a critical step for sponsors such as agencies, universities, businesses, and associations desiring to offer Continuing Education Units (CEUs). It meticulously collects details ranging from sponsor information, course content including topics covered such as safety factors, environmental consequences, pest features, and application techniques to instructor credentials, ensuring that the course meets the high standards set by the department. Additionally, the form requires attestations regarding compliance with federal and state laws, including the Americans with Disabilities Act (ADA), underscoring the importance of accessibility in educational offerings. Through providing avenues for professional development, the PA-409 form embodies the Texas Department of Agriculture's commitment to maintaining industry standards and enhancing the expertise of professionals in the field of agriculture and pest control.
P.O. Box 12847 Austin, Texas 78711 (877) 542-2474 (512) 463-7476 Hearing impaired: (800) 735-2988 voice www.TexasAgriculture.gov
Texas Department of Agriculture
Pesticide Continuing Education Course
TODD STAPLES, COMMISSIONER
Recertification Sponsorship
PA-409
1 TYPE OF APPLICATION
New Agricultural CEU Application
A
New Structural CEU Application
SEC.
Renewal Application for Agricultural Course No.
Renewal Application for Structural Course No.
1 SPONSOR INFORMATION
Sponsor Name
Agency
University
Business
Association
2 CONTACT PERSON
Mr.
Mrs.
First Name
M. I.
Last Name
B
Ms.
____
3 MAILING ADDRESS
SECTION
Address
City
State
Zip
4 CONTACT INFORMATION
Primary Phone
Secondary Phone (optional)
Fax (optional)
(
)
-
E-mail
Would you prefer to be contacted
Okay to post your e-mail address on
by e-mail?
Yes
No
TDA website?
1 COURSE INFORMATION
C
Will this course be open to the public?
If yes, name of person to contact for more information:
_____________________________________
Phone number for more information (
Will a fee be charged?
Yes $
Amount
Will this course be for
One Location
Multiple Locations
Various Locations
This document becomes public record and is subject to disclosure. With few exceptions, you have the right to request and be informed about the information that the State of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and 559.004.)
Pesticide Division
Revised 4/16/2010
PA-409 Pesticide CEU Recertification Sponsorship
Page 2 of 4
Name
2 COURSE SITE AND DATE
Course Location
Address of Training
(cont.
City of Training
State of Training
Zip Code of Training
SEC. C
Date
(mm/dd/yy)
Time
:
AM
Expected No. of Participants
PM
To document additional course sites and dates, use supplemental form.
1 COURSE TOPICS FOR
Instruction
Demonstration
Proposed
TDA Approval
AGRICULTURAL CEUS
Hours
Credit
1.
Safety Factors
2.
Environmental Consequences
3.
Pest Features
4.
Business Ethics
D
5.
Pesticide Factors
6.
Equipment Characteristics
7.
Application Techniques
8.
Biotechnology/Transgenic Crops
9.
Total General (add 1-8)
10. Integrated Pest Management
11. Laws and Regulations
12. Label and Labeling
Comprehension (L&R)
13. Drift Minimization
14. Total Credits (add 9-13)
STRUCTURAL CEUS
General Standard Courses
Pest Control
E
Termite Control
Lawn/Ornamental Insect Control
Commodity Fumigation
Structural Fumigation
Weed Control
Wood Preservation
14. Total Credits (add 1-8)
Revised 4/16/10
Page 3 of 4
SEC. F
SECTION G
1METHOD OF INSTRUCTION (CHECK ALL THAT APPLY)
Lecture
Slide/Film/Video
Panel Discussion
Other (describe)
__________________________________
1INSTRUCTOR NO. 1 INFORMATION
Speaker Topic
Previously
Length of
Approved Speaker
Presentation
2CONTACT INFORMATION
1INSTRUCTOR NO. 2 INFORMATION
(cont.)G
2 CONTACT INFORMATION
1INSTRUCTOR NO. 3 INFORMATION
(cont.)
G
1INSTRUCTOR NO. 4 INFORMATION
FG(cont.)
Page 4 of 4
SECTION G (cont.)
1INSTRUCTOR NO. 5 INFORMATION
To document additional instructors, use supplemental form.
ATTACH AN AGENDA FOR THE COURSE TO THIS FORM
SECTION I
1SIGNATURE
I hereby certify ability to comply with any applicable federal and state laws, including the Americans With Disabilities Act (ADA) requirements for access to activities.
Applicant Name (print)
Title
Applicant Signature
SECTION J
1CHECKLIST
Please use this checklist to ensure you are sending all of the necessary information and documents.
Complete Pesticide CEU Recertification Sponsorship form
Include a course outline
Provide all supporting documentation
Submit at least 30 days prior to the first date of the course to:
Texas Department of Agriculture, Training and Certification Program, P.O. Box 12847, Austin, Texas 78711 or fax to : 888-216-9865.
Filling out the PA-409 form is essential for securing recertification sponsorship for pesticide continuing education courses in Texas. This process might seem daunting at first, but by following a step-by-step approach, it becomes manageable. Key details such as sponsor information, course details, instructor credentials, and a clear agenda are crucial for approval. Once the form is completed and submitted with all the necessary attachments, it will be reviewed by the Texas Department of Agriculture. Ensure all information is accurate and complete to facilitate a smooth review process.
What is the PA-409 form used for?
The PA-409 form is specifically designed for organizations or individuals looking to gain approval or renew their pesticide continuing education courses from the Texas Department of Agriculture. This applies whether you're introducing a new course or looking to get your existing course recertified.
Who needs to fill out the PA-409 form?
If you're a sponsor representing an agency, university, business association, or any entity planning to offer a pesticide continuing education course in Texas, you'll need to complete the PA-409 form. This step is crucial for both new applications and renewals.
How does the PA-409 form handle location and date information for courses?
On the PA-409 form, sponsors are prompted to provide detailed information about the course's location, including the address and city, along with the date and time the course is scheduled. If your course is being offered at multiple locations or at various times, there's provision to include these details, ensuring the Texas Department of Agriculture has all necessary information.
What kind of course topics are covered in the PA-409 form process?
The form includes sections for outlining the topics your course will cover, with a special focus on agricultural and structural continuing education units (CEUs). Topics can range from safety factors, environmental consequences, and pest features to more specific areas like biotechnology and laws and regulations. This comprehensive approach ensures the courses provide meaningful education to attendees.
Is there an opportunity to include course instructors on the PA-409 form?
Yes, the form allows for the inclusion of detailed information about course instructors, including their names, contact information, and topics they'll cover. This section helps the Texas Department of Agriculture assess the qualifications of the instructors and the relevance of the course content.
What are the ADA compliance requirements mentioned in the PA-409 form?
By signing the PA-409 form, you're certifying that your course will comply with all federal and state laws, including the requirements set forth by the Americans with Disabilities Act (ADA). This ensures that your course is accessible to all interested participants, regardless of physical limitations.
What steps should be taken after completing the PA-409 form?
After filling out the form, make sure to attach a detailed agenda for your course and include any supporting documentation required. The form, along with the necessary documents, should be submitted at least 30 days prior to the first course date to the Texas Department of Agriculture, either by mail or fax. This allows enough time for review and approval.
When filling out the PA-409 form, it's critical to avoid common mistakes to ensure the application process is smooth and successful. Here are ten common errors:
It's crucial to review the PA-409 form thoroughly before submission to avoid these common mistakes. Accurate and complete applications help facilitate timely approval and ensure the course meets all necessary guidelines and regulations.
When preparing educational courses related to pesticide application and safety, the PA-409 form serves as a critical component in the process, particularly within the Texas Department of Agriculture's Pesticide Continuing Education Course Recertification Sponsorship. However, completing and submitting this form is often just one part of the documentation needed. Several additional forms and documents typically accompany the PA-409 form to ensure comprehensive compliance and thorough preparation for these educational offerings.
Combining the PA-409 form with these additional documents not only aids in the smooth approval and execution of pesticide continuing education courses but also underscores a commitment to high educational standards and legal compliance. Each document plays a unique role in painting a complete picture of the proposed course, from logistical details and content coverage to instructor qualifications and participant accessibility. As such, they are indispensable in the administrative preparation for offering quality, impactful education within the field of pesticide application and safety.
The PA-409 form is similar to several other documents used within the realm of professional certification and course accreditation processes. These documents share commonalities in structure, purpose, and the type of information they gather, aiming to ensure the provision of high-quality education and the maintenance of professional standards.
Form PA-400, Professional Development Course Application: Like the PA-409 form, the PA-400 is utilized to collect detailed information about proposed courses, including sponsor information, course details, instructional methods, and instructor qualifications. Both forms serve the purpose of scrutinizing the educational content to ensure it meets specific regulatory criteria for professional development. However, while PA-409 focuses on pesticide CEU recertification, PA-400 may be used in a broader range of professional fields to endorse various types of continuing education units (CEUs).
Form CE-200, Continuing Education Course Approval Application: This document, much like the PA-409, is designed to facilitate the review and approval of courses intended for continuing education in specific professional domains. Key similarities include sections on course information, location, topics covered, and instructor credentials. Both forms play a crucial role in the continuous education system, ensuring that professionals have access to relevant, up-to-date information and skills training. Form CE-200, however, may cater to a wider array of professions beyond the scope of pesticide application and safety.
When you're filling out the PA-409 form for Pesticide CEU Recertification Sponsorship, it's important to follow the right steps and avoid common mistakes. Here's a list of what you should and shouldn't do to make the process smoother:
Following these guidelines will help ensure that your application is complete, accurate, and submitted on time. This will facilitate a smoother review process by the Texas Department of Agriculture and help prevent any unnecessary delays or complications.
Understanding the PA-409 form can be complex. Here are 10 common misconceptions addressed to clarify its purpose and requirements:
Only agricultural businesses can use the PA-409 form — Incorrect. The form is designed for both new agricultural and structural continuing education course applications, as well as renewals, catering to a variety of sponsors including agencies, universities, and associations.
The course must be limited to a single location — Not true. Sponsors can choose to offer the course in one location, multiple locations, or various locations, which provides flexibility in meeting the needs of potential participants.
PA-409 is a Texas-only form — While it is specific to the Texas Department of Agriculture, its implications can extend beyond Texas borders by affecting anyone who seeks to offer approved continuing education courses in pesticide use and safety that can be recognized in Texas.
Personal contact information will be made public — The form explicitly asks if you agree to have your email address posted on the TDA website. You have the option to decline, safeguarding your privacy.
All courses are open to the public — Courses can be designed as closed sessions if preferred. The form asks for clarification on whether the course will be open to the public or not.
There is no need for instructors’ credentials — Incorrect. The form requires detailed information about the instructors including their qualifications and whether they've been approved by TDA before, emphasizing the importance of qualified instructions.
Any topic can be included in the course curriculum — Not quite right. There are specific course topics listed for both agricultural and structural CEUs that need TDA approval. This ensures that the courses meet the department's guidelines and are relevant to participants.
A fee must always be charged for the courses — This is not mandatory. The form inquires whether a fee will be charged, allowing for flexibility in how the course is financed or sponsored.
Submitting the PA-409 form is the last step — In reality, the form reminds applicants to attach an agenda for the course and to provide all supporting documentation. Submission should be done at least 30 days prior to the first course date, indicating that careful planning ahead of the course is crucial.
Compliance with federal and state laws isn’t monitored through this form — Inaccurate. One section of the form requires certification of the applicant's ability to comply with applicable laws, including the Americans with Disabilities Act (ADA) requirements, underscoring the importance of legal compliance in these educational initiatives.
By clarifying these misconceptions, one can better navigate the requirements and intent behind the PA-409 form, ensuring that the process of applying for pesticide continuing education course sponsorship is understood correctly.
When filling out and using the PA-409 form for Pesticide Continuing Education Course Recertification Sponsorship in Texas, it's important to keep these key takeaways in mind:
Remember to attach an agenda for the course to the PA-409 form before submission, and certify your compliance with federal and state laws, including ADA requirements. Utilizing the checklist section ensures all necessary information and documents are included with your application. Submitting your application at least 30 days prior to the course date is advised to adhere to processing times.
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