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Date:________________
Name of Applicant: __________________________________________
Home Address: (street, city, state, zip)_______________________________________________
Home Telephone: _____________________________________________
Company Name: _____________________________________________
Company Addresss: (street, city, state, zip)__________________________________________
Work Telephone: ____________________________________________
Application for Certification Examination
must be accompanied by a non-refundable fee of $65.00 and a comprehensive resume including education,
employment, and experience requirements as outlined in the "Qualifications and Exam Eligibility
Requirements" ( Click here ) for CERTIFICATION PROGRAM for "Qualifications and Exam Eligibility Requirements).
The resume must include names, addresses, dates and telephone numbers for all education, employment, and experience history
as specified. This information must be received by March 1st and September 1st respectively. INCOMPLETE
APPICATIONS WILL NOT BE ACCEPTED. Certification Exam Applications (including all required documentation) will
NOT be accepted online.
Make checks payable to:
New Hampshire
Arborists Association
Mail Application and Check to:
New Hampshire Arborists Association
PO Box 16006
Hooksett, NH 03106
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