Friday, June 15, 2018 | Oceanside, CA | 8 a.m.. Mira Costa College | Registration Deadline: June 04, 2018. Friday, Octob
2018 TEST REGISTRATION Registration
Applicant / Personal Information Name _______________________________________________________ Street/P.O. Box_______________________________________________ City______________________ State ______ Zip ____________________
Candidates are required to pass all written AND hands-on problems within any of the 5 modules. Please check only one written and one hands-on test. Dates and locations are subject to change. Confirmation letters with location address and test start time will be sent after test registration has closed. Packet will also include a test book that outlines test problems. I would prefer the test book in Spanish
Phone__________________________ Cell _________________________ Email (required)_________________________________________________ Emergency Contact Phone ____________________________________
Employer Information
CLCA Member?
Yes
No
Company ____________________________________________________
Candidates Must Select Only One Module Softscape Installation Module Hardscape Installation Module Turf Maintenance Module Ornamental Maintenance Module Irrigation Module
Street/ P.O. Box_______________________________________________
2018 WRITTEN Test Dates
City______________________ State ______ Zip ____________________
Thursday, February 01, 2018 | Ontario, CA | 10 a.m. Landscape Industry Show | Registration Deadline: January 24, 2018
Friday, February 23, 2018 | Menlo Park, CA | 1 p.m. Gachina Landscape Management | Registration Deadline: February 12, 2018
Friday, April 13, 2018 | San Diego, CA | 1 p.m. Cuyamaca College | Registration Deadline: March 12, 2018
Friday, June 15, 2018 | Oceanside, CA | 8 a.m. Mira Costa College | Registration Deadline: June 04, 2018
Friday, October 05, 2018 | Petaluma, CA | 1 p.m. Buckeye Ranch | Registration Deadline: September 04, 2018
Friday, December 07, 2018 | Sacramento, CA | 2 p.m. CLCA Headquarters | Registration Deadline: December 03, 2018
Phone________________________________________________________
Send All Test Info To:
Work Address
Home Address
I need special accommodations to participate (please describe on a separate sheet.)
Test Fees CLCA Member Full Test (Written & Hands-On)
1 Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $350 ________ 2-4 Applicants . . . . . . . . . . . . . . . . . . $325 per applicant ________ 5-8 Applicants . . . . . . . . . . . . . . . . . . $300 per applicant ________ 9 or more Applicants . . . . . . . . . . . . . $275 per applicant ________
(All full test applications must be submitted at the same time to receive discounted rates.)
Re-test (Written & Hands-On). . . $60 Admin Fee + $25 per problem $ 60 + ______ x $25 = ________ $ Additional Module. . . . 100 Admin Fee + $25 per problem (For applicants already certified) $ 100 + ______ x $25 = ________ Late Fee (Per application, if received after deadline date) . . . . . . . $25 ________
Training Manuals — Revised! (Not required, but recommended) Training Manual (includes tax & shipping). . . . . . . . . . . . $87.78 ________ Select: Maintenance Installation Irrigation Select: English Spanish Full Test (Written & Hands-On). . . . . . . . . . . . . . . . . . . . . 500 ________ Re-test (Written & Hands-On). $100 Admin Fee + $40 per problem $ 100 + ______ x $40 = ________ Additional Module. . . . $150 Admin Fee + $40 per problem (For applicants already certified) $ 150 + ______ x $40 = ________ Late Fee (Per application, if received after deadline date) . . . . . . . $25 ________ $
Training Manuals — Revised! (Not required, but recommended) Training Manual (includes tax & shipping). . . . . . . . . . . $131.93 ________ Select: Maintenance Installation Irrigation Select: English Spanish Check/MO payable to CLCA.
Saturday, April 14, 2018 | San Diego, CA | All day Cuyamaca College | Registration Deadline: March 12, 2018
Saturday, October 06, 2018 | Petaluma, CA | All day Buckeye Ranch | Registration Deadline: September 04, 2018
Work Experience: To become Landscape Industry Certified, it is recommended that you have a minimum of 2,000 hours work experience. Please check your work experience: ___ 1 year
Non-Member
2018 HANDS-ON Test Dates
Total Order Amount $ ________ Charge my Visa or Mastercard.
Card #______________________________________________ Exp. _______ Print Name________________________________ 3-digit Sec. Code________ Sign. . _________________________________________________________
(2000 hrs minimum)
___ 2–5 yrs ___ 5–10 yrs ___ 10+ yrs
Cancellation Policy
All cancellations must be received in writing. Cancellations received prior to the registration deadline will receive credit, valid for one year, minus a $50 admin fee. Cancellations after the deadline will receive credit, valid for one year, minus a $100 admin fee. No refunds/credit for no shows on test day.
Questions Please contact CLCA at (916) 830-2780 or by email at
[email protected].
Submit Mail, fax or email this form along with payment to: California Landscape Contractors Association 1491 River Park Dr., #100 Sacramento CA 95815 (916) 830-2788 fax /
[email protected]
Please provide a physical/street address when ordering training manuals.
