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Crifid Crp Advisr
Credential information
5585 Gu r ms, Wi 53711-5801 (608) 273-8085 fx (608) 273-2081
A certification program of the American Society of Agronomy
P my 2011
United StateS & Canada
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International Certified Crop Adviser
(ICCA) Program
www.certifiedcropadviser.org
Office Phone: (608) 273-8085
Fax: (608) 273-2081
Calling Frm
AK, AR, AZ, BC, CA, HI, ID, KS,LA, MI, MS, ND, NE, NM, NV,ON,OR, SD, TX, UT, WA
CO, IA, KY, MN, MO, MT, NC,OH, OK, TN, WI, WY
AB, AL, CT, DE, FL, GA, IL, IN,MA, MB, MD, ME, NB, NF, NH,NJ, NS, NY, PA, PE, RI, SC, SK,VA, VT, WV
Director, Certification & Licensing
CCA Rprsnaiv
Laurie [email protected]
Marta [email protected]
Michele [email protected]
Luther Smith
Phn
(608) 268-4954
(608) 268-4955
(608) 268-4953
(608) 268-4977
Cnacs
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Table of Contents
Certified Crop Adviser (CCA) Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
CCA Certification Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Certified Crop Adviser (CCA) ProgramInstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Application for Verification of Credentials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Professional Expertise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Professional Experience FormExample. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Professional Experience Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CCA Reference FormEmployer (Form 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CCA Reference FormClient (Form 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Summary of College/Short Course Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Certification Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside Back Cover
Crifid Crp AdvisrCredential information
Note: Please remove the necessary forms (pags 5, 6, 9, 10, 11, 12, 13, 14, 15, and 16) from this booklet,complete and forward. Keep copies of all forms and the booklet for your records.
Do not send the entire booklet back to ASA. Thank you.
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Certified Crop Adviser (CCA) Background
The International Certified Crop Adviser (ICCA) program was developed by the American Society of Agronomy (ASA)in cooperation with agribusiness retail dealers, cooperatives and manufacturers, state and national trade associations, theUSDA, and independent consultants. The representatives from these groups acted as the CCA Steering Committee. Upon theirrecommendation, the CCA program was founded on four principles.
1. The ICCA program should certify credentials at the base standards levels and initially should not require a college
degree to be eligible, but require all applicants to pass an international CCA exam.2. The ICCA program must be administered in the states/provinces. Each state/province that participates will nominate
a local CCA board to review applications and develop a local board exam.3. The ICCA program must be prepared to change as government policy changes.4. CCA participants, once certified, will have to subscribe to the Code of Ethics, participate in continuing education
programs to maintain their certification, and pay an annual renewal fee.
The local CCA board that will administer the ICCA program will have to consist of at least seven members with at leastone representative from agribusiness, the state/provincial agency for environmental protection, and extension, to ensure theprogram is educationally sound and meets the needs of industry and government.
The American Society of Agronomys responsibilities are to coordinate the national activities, which include providingthe international exam and act as liaison with the federal agencies to keep the ICCA program in tune with public policy. ASAserves as registrar and assists the local CCA boards with processing applications, grading of all exams, and recording continu-ing education credits.
Crifid Crp Advisr (CCA) Crificain Sps
Sp 1 Pass both the international and local board exams.
Sp 2 Complete this CCA Credential Packet within six months of passing both exams.
Sp 3 The local CCA Board reviews your credential packet. (NOTE: Once the forms are sent from ASA to the local board,usually on a quarterly basis, it takes four to six weeks to grant your certification or denial.)
Sp 4 Once granted certification from the local CCA Board, you will receive a certificate for framing and a wallet card. Inorder to maintain your certification you will need to pay an annual renewal fee and earn 40 hours of continuing edu-cation units over a two year period.
Sp 5 You may start receiving your Continuing Education Units (CEUs) from the date on your CCA certificate. Any meet-ing/course hours taken before your certification date will not count towards your CCA.
2
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3
Inrducin
The International Certified Crop Adviser (ICCA) program isopen to anyone who provides crop management recommen-dations to farmers/growers. The purpose of the program is to
provide base standards for certification for these individuals.The goal of the program is to help agriculture as an industrymeet its environmental stewardship objective.
CCA Crificain Prcss
1. All CCA applicants to be certified must pass the interna-tional and local board exam and have their credentialsreviewed by their local board.
2. All CCA Credential Forms are sent to CCA, 5585Guilford Road, Madison, WI 53711-5801.
3. Your Credential Forms are collected and permanentlyfiled in Madison. Please use an ink pen when completingthese forms. When your file is complete, a copy of yourfile is sent to your local board for review.
4. You are notified after the local board reviews. If yourcredentials are approved and you have passed the exami-nations, you will be sent a Certificate of Certification. Ifyou are denied certification, you will receive a letter ofexplanation.
Dircins
1. Please fill out all of the information requested on theApplication for Verification of Credentials on page 5.
2. Fill in the state/province in which you are applying for
certification.3. Pick the categoryA, B, or Cthat best describes you:
CCA Candida Saus
CCA Candidate is granted to an applicant who has passedboth exams and has met all requirements as reviewed bythe local CCA board but does not meet the experiencerequirement.
The applicant needs to indicate that they are applying forCCA Candidate status. Please include any experiencethat you have. If you do not have the required references,you will need to provide at least one reference of anykind which should be a non-relative such as formeremployers from part-time jobs or professors. This refer-ences does not need to be a farmer/grower.
The applicant will be notified by the ICCA Office of thelocal CCA boards decision. The applicant will be desig-nated as a CCA Candidate for the number of months oryears that are required to fulfill the experience require-ment. The time can not be extended except in the case ofextenuating circumstances such as military duty, medical
Crifid Crp Advisr (ICCA) Prgram
related issues, unemployment. At that time, the applicantwill need to update their experience form and provide therequired references (employer and client) if they have notdone so already and submit those forms to the ICCAOffice to be reviewed by the local CCA board for full
CCA status.CEU requirements and an annual renewal fee are notrequired for the CCA Candidate Status. CEU and annualrenewal fee requirements will begin once the CCACandidate becomes fully certified and the status changesto CCA as recommended by the local CCA board.
A = At least 4 years of crop advising experience, withno college degree.
B = At least 3 years of crop advising experience,Associates Degree with 15 semester hours or 23quarter hours of agricultural sciences
OR
At least 2 years of crop advising experience, BSDegree and 15 semester hours or 23 quarter hoursof agricultural sciences.
C = Certified Professional as an Agronomist, (CPAg),Soil Scientist (CPSS), Soil Classifier (CPSC).
* Note: Your references will be sent to your CCAlocal board. You may want to submit new refer-ences if your original references are: i) dated, ii)not specific to crop advising, or iii) no reference onfile from a client that you have given crop adviceto.
Provide all information requested for your category.
Code of Ethicspage 6
Make sure you read and sign the Code of Ethics on thereverse side of the Application for Verification ofCredential.
Professional Expertise
The professional expertise areas allow you to connect, viathe Find a CCA directory, with other CCAs and shareknowledge within and across expertise areas. The Find aCCA directory is available to the public including farm-ers, extension agents, and anyone else interested in the pro-gram. In addition to the professional expertise areas, the
directory search can be based on name, location, type ofcertification, and those self-identified areas of expertise.And, designating your areas of expertise helps you marketyourself to current and prospective clients.
Crop Advising Experience Formpage 9
To be certified an applicant must have either:Four years of crop advising experience working with
farmer/grower and an unrelated degree or no degree; or
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Three years of experience and associate degree in anagricultural related field; or
Two years of experience and a baccalaureate degreein an agricultural related field.
Using the guidelines above, determine the years ofexperience needed.
A year of experience should be credited for each year
of qualified activity, if approximately one-third (i.e. atleast 30% to 35%) of your time is engaged in one ormore of the following activities:a. Advising farmers/growers on crop production;b. Teaching or educating crop advisers about topics
that are described in the Performance Objectives;and
c. Advising or working with farmers/growers to installsoil conservation practices, or to meet state/provinceor federal regulations that are related to cropproduction (such as conservation compliance).
Note: If you spend less than 30% of your timeengaged in the activities described previous-ly, partial credit might be assigned based on
the following:
Acual exprinc CCA exprinc30% 1.00 year per year involved25% 0.83 year per year involved20% 0.66 year per year involved15% 0.50 year per year involved
For example, an applicant spends 20% of his or hertime in activities outlined in a, b, or c and lists 10 yearsexperience. The applicant should receive 6.6 yearscredit for experience (i.e.; 0.66 x 10 years = 6.6 years).
Note: If you spend less than 15% of your time inactivities outlined above, no credit for experi-
ence will be given. The crop advising experience form must clearly show
that you have the minimum number of years of experi-ence providing crop advice to farmers/growers.(Review the example on page 8.)
Write in at the bottom of the page your estimate ofyears of crop advising experience.
Experience gained while farming may count as amaximum of 1 year of the total work experiencerequirement.
Supervised Work Experience or Internship may beused to substitute for six months of work experiencefor each three months of supervised work experience.Six months of supervised work experience may countfor a maximum of 1 year of work experience. The CropAdvising Experience form should be used to describethe supervised work experience. A separate attachmentis recommended.
Reference Formspages 11 and 13
You must submit TWO references: 1) Reference form1 is for your supervisor and 2) Reference form 2 is fora client that you provide crop production advice.
If self employed, provide at least two references fromclients.
Reference form signatures must be witnessed OR nota-rized.
You may send the completed references or have thereference send them directly to Madison.
Summary of College/Short Course Workpage 15
If you are applying under category B, you must submita transcript and cmpl the Summary of CollegeCourse Work Form. Transcripts do not substitute forthe Course Work Form. Transcripts are kept in your filein Madison. transcrips must be official and sentdirectly to ASA/CCA from the institution. Once yourfile is complete, a copy of the Course Work Form willbe sent to the local board in which you are applying forcertification.
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Application for Verification of Credentials
CERTIFIED CROP ADVISER
(This does not register you for the exams.)
Applicants Name and Address
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Busss Ph ___________________________ fx _____________________________ e ______________________________
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2. STATE/REGIONAL APPLYING FOR CERTIFICATION IN NAME TO BE PRINTED ON CERTIFICATE
3. PLEASE CHECK CATEGORY A, B, OR C BELOW THAT BEST DESCRIBES YOU AND SUBMIT ALL THE FORMS REQUESTED.If you are applying for CCA Candidate, please see #3 under Directions on page 3.
Applying for CCA Candidate (Please indicate below which category best describes you.)
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5. SIGNATURE
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MAIL TO: CCa, 5585 Gu r, ms, Wi 53711-58015
CUtHere
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Cd f ehics
All individuals certified under the ICCA program must subscribeto the ICCA Code of Ethics. The ICCA Standards & EthicsCommittee periodically reviews the current Code of Ethics.
Aricl 1. Prambl
1. The privilege of professional practice imposes obligations ofresponsibility as well as professional knowledge. The ICCAprogram certifies the credentials of individuals through state/provincial certification boards.
2. The ICCA program will award the title of Certified to indi-viduals who meet the experience, testing requirements and thecontinuing education requirements of the InternationalCertified Crop Adviser (ICCA) program. The ICCA programdoes not require college level education. A college educationwill substitute for part of the ICCA work experience require-ment as provided for in the ICCA guidelines.
3. Certified Crop Advisers (hereafter called Registrants), at therequest of a client or employer, must disclose the informationused to gain certification. Registrants who knowingly misrep-resent their credentials will face disciplinary action.
Aricl II. Rlain f Prfssinal h Public
1. An Applicant shall avoid and discourage sensational, exagger-ated, or unwarranted statements that might induce participationin unsound enterprises.
2. An Applicant shall not give professional opinion, or make arecommendation, without being as thoroughly informed asmight reasonably be expected considering the purpose forwhich the opinion or recommendation is desired; and thedegree of completeness of information upon which it is basedshould be clear.
3. An Applicant shall not issue a false statement or false informa-tion even if directed to do so by employer or client.
Aricl III. Rlain f prfssinal emplyr and Clin
1. An Applicant shall protect, to the fullest extent possible, theinterest of the employer or client insofar as such interest isconsistent with the law and professional obligations and ethics.
2. An Applicant who finds that obligations to the employer orclient conflict with their professional obligation or ethicsshould work to have such objectionable conditions corrected.
3. An Applicant shall not use, directly or indirectly, employer orclients information in any way that would violate their confi-dentiality.
4. An Applicant shall not divulge information given in confi-dence.
5. An Applicant retained by one client shall not accept withoutthe clients written consent, an engagement by another if the
interests of the two are in any manner conflicting.6. An Applicant who has made an investigation for any employer
or client shall not seek to profit economically from the infor-mation gained, unless written permission to do so is granted, oruntil it is clear that there can no longer be a conflict of interestwith the original employer or client.
7. An Applicant shall engage, or advise employer or client toengage and cooperate with other experts and specialists.
8. An Applicant protects the interest of a client by recommendingonly products and services that are in the best interest of theclient and public.
9. An Applicant protects his/her credibility by disclosing to cli-ents how he/she will be compensated for providing recommen-dations to the client.
Aricl IV. Rlain f Prfssinals each ohr
1. An Applicant shall not falsely or maliciously attempt to injurethe reputation of another.
2. An Applicant shall freely give credit for work done by others,to whom the credit is due, and shall refrain from plagiarism oforal and written communications and shall not knowinglyaccept credit rightfully due another person.
3. An Applicant shall not use the advantage of public employ-ment (e.g. university, government) to compete unfairly withother certified professions.
4. An Applicant shall endeavor to cooperate with others in theprofession and encourage the ethical dissemination of technicalknowledge.
Aricl V. Duy h Prfssin
1. An Applicant shall aid in exclusion from certification, thosewho have not followed this Code of Ethics or who do not havethe required education and experience.
2. An Applicant shall uphold this Code of Ethics by precept andexample and encourage, by counsel and advice, otherRegistrants to do the same.
3. An Applicant having positive knowledge of deviation from thisCode by another Registrant shall bring such deviation to theattention of the Registrants local Board.
Approved byInternational CCA Board of Directors
07/97
6
I have read the Certified Crop Adviser Code of Ethics and agree to adhere to this code.
Print Name ______________________________________________________________________________________________________
Signature __________________________________________________________ Date ______________________________________
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Prfssinal expris
The professional expertise areas allow you to connect, via the Find a CCA directory, with other CCAs and share knowledge withinand across expertise areas. The Find a CCA directory is available to the public including farmers, extension agents, and anyoneelse interested in the program. In addition to the professional expertise areas, the directory search can be based on name, location, typeof certification, and those self-identified areas of expertise. And, designating your areas of expertise helps you market yourself to current and prospective clients.
Acid-Sulfate SoilsS2
Agricultural AdministrationP3Agricultural ClimatologyElAgricultural DevelopmentF2Agro-forestryX0Agronomic EducationP1Agronomic ManagementFlAgronomy (general)Al
Best Management PracticesF4BiometricsA3BiotechnologyCl
Cell BiologyC2Computer Assisted DesignB5Computer ModelingB4Computer UsesBlConservation EducationP2
Conservation Planning, FoodSecurity Act 1985F5
Comprehensive NutrientManagementN4
Conservation TillageD6Crop BreedingJlCrop ChemistryK5Crop CytogeneticsJ5Crop EcologyL1Crop GeneticsJ7Crop MarketingL3Crop MetabolismKlCrop PhysiologyK3Crop ProductionL4Crop ProtectionL6Crop QualityO1Crop ScienceI1
Crop SpecializationCannery CropsP4Crop SpecializationCornP5Crop SpecializationCottonP6Crop SpecializationGrazingP7Crop SpecializationRiceP8Crop SpecializationSmallGrainsP9Crop SpecializationSoybeanQ2Crop SpecializationTobaccoQ3Crop SpecializationTree FruitQ4Crop SpecializationVegetableQ5Crop SpecializationWheatQ6Crop UtilizationO2CytologyJ3
Digitized MappingB3
EdaphologyU3EntomologyL9Environmental ProtectionE3Environmental RegulationE2EthicsE9
Farm ManagementF6Farmland PreservationF3Fertilizer TechnologyYl
Fertilizer UseY3
FloricultureH3FloristryH4ForagesN2Forest SoilsXl
Garden Center ManagementI7GeneticsJ9Greenhouse ProductionH2Ground Water QualityG7
Hazardous Waste ManagementG2Horticulture (General)H1Hydric SoilsR4
Impact AssessmentE4Information SystemsB2International AgronomyI4
International HorticultureI6IrrigationRlIrrigation and DrainageR2
Labor ManagementF7Land ClassificationV8Land ManagementDlLand Resource AnalysisV6Land Resource DevelopmentV7Land UseD2Land Use PlanningD5
Molecular CytogeneticsC4Molecular GeneticsC3
Nursery ManagementI8Nutrient ManagementN3
OlericultureH6OrganicO3Ornamental HorticultureH9
PedologyU6Pest ManagementL7Pesticide UseL8Plant BreedingJ2Plant ChemistryK6Plant EcologyL2Plant CytogeneticsJ6Plant CytologyJ4Plant GeneticsJ8Plant MetabolismK2Plant NutritionUlPlant PathologyI5
Plant PhysiologyK4Plant PropagationK7Plant TaxonomyK8Pollution ControlG6PomologyH5Post-Harvest PhysiologyH7Precision AgA2Product R&DW3
Range ManagementX6
Range Soil ScienceX3ReclamationW8Regulatory Admin./EnforcementE5Regulatory ComplianceE6Resource ConservationD4
Saline SoilsR5Seed ProductionMlSeed TechnologyM3Small Fruit CultureI9Soil BiochemistryTlSoil ChemistrySlSoil Erosion Sediment ControlW5Soil FertilityU2Soil GenesisVlSoil InterpretationsV2Soil ManagementW7
Soil MicrobiologyT2Soil MineralogyZ1Soil Morphology/ ClassificationV3Soil PhysicsR3Soil Plant AnalysisU4Soil-Plant CorrelationU7Soil ScienceQ1Soil-Water-Plant RelationU5Soil Resource InventoryV4Soil SurveyV5Soil and Waste ManagementGlSoil and Water ConservationW1Soil and Water ManagementW2Statistical AnalysisB6Streambank StabilizationW6Surface Mine ReclamationW4
Tissue CultureC5Tropical AgricultureI3Tropical CropsI2Turfgrass ManagementNl
ViticultureH8
Waste Disposal, On-siteG3Waste, Land Treatment/Applic.G5Waste ManagementG4Water Diversion and ControlW9Weed ControlLOWeed ScienceL5Wetlands IdentificationWOWildlife ManagementX2
Undefined, OtherZ9
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CCA Rfrnc FrmemplyrApplicant completes top portion
From:
Applicants name
Applicants address
Applicants phone number
To:
Reference name
Address
N Applican: Please complete the above information and give this form to the reference. The reference needs to com-plete the questions on the reverse side, have their signature witnessed or notarized and forward to CCA, 5585 Guilford Road,Madison, WI 53711-5801.
N Rfrnc: The above-named individual is applying for CCA certification and has requested that you act as a refer-ence. Once completed, please mail to CCA, 5585 Guilford Road, Madison, WI 53711-5801. An applicant must provide at leasttwo references who are familiar with her/his experience providing crop management advice to farmers/growers. By completingthis form you will be acting as a reference for the applicant named above.
Please answer the questions on the back of this form, and include any additional comments that you feel may be helpful. Thisform will be reviewed by the CCA Local Board to ensure that the applicant has the necessary experience to be certified as acrop adviser.
To become certified, a prospective applicant must pass the international and local board CCA examinations. Applicants musthave knowledge and skills in the areas of nutrient management, soil and water management, integrated pest management, andcrop management. As a reference, by checking 5 and 6 on this form, you are acknowledging that the applicant has skills inthese areas. The applicant must also have their credentials reviewed and meet one of the conditions below:
Two years of experience providing crop management advice to farmers/growers plus a baccalaureate degree in agricul-ture, r
Three years of experience providing crop management advice to farmers/growers plus an Associates Degree (Two Year)in Agriculture, r
Four years of experience providing crop management advice.
Plas sign his frmHave your signature witnessed or notarized and return to: CCA
5585 Guilford RoadMadison, WI 53711-5801
FORM 1
11
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Plas rspnd h fllwing ims and includ any prinn infrmain ha yu fl will aid in h valuain fh applicans crdnials.
1. In what capacity have you had association with the applicant? I am (was) the applicants:
Supervisor Client Other as: ___________________________
2. What length of time have you known the applicant in the above capacity? _____________ years
3. For what period of time did the applicant work for you providing crop management advice to farmers/growers?
From ________________ to ________________ . month/year month/year
4. Knowing the minimum requirements for CCA certification, do you feel qualified to recommendthis applicant to the localCCA board to become certified in the area of certification as stated on the reverse side?
Yes No
If yes, please proceed and complete the reference.If no, please give a brief statement in no. 7 of your reason(s); sign and return this letter immediately.
5. Do you feel that the applicant fully meets the eligibility requirements of the Certified Crop Adviser Program?
Yes No
6. Do you recommend this applicant to be certified by the local board as a Certified Crop Adviser?
Yes No
7. Please list any comments that will aid the local board in making a fair evaluation of this applicant.
Signature _________________________________________ Professional title ____________________________________(must be witnessed or notarized)
Organization _________________________ Location _______________________ Phone ___________________________
Witness or Notary Signature Required _____________________________________________________________________
Date _________________________________________
Please mail to: CCA, 5585 Guilford Road, Madison, WI 53711-580112
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CCA Rfrnc FrmClinApplicant completes top portion
From:
Applicants name
Applicants address
Applicants phone number
To:
Reference name
Address
N Applican: Please complete the above information and give this form to the reference. The reference needs to com-plete the questions on the reverse side, have their signature witnessed or notarized and forward to CCA, 5585 Guilford Road,Madison, WI 53711-5801.
N Rfrnc: The above-named individual is applying for CCA certification and has requested that you act as a refer-ence. Once completed, please mail to CCA, 5585 Guilford Road, Madison, WI 53711-5801. An applicant must provide at leasttwo references who are familiar with her/his experience providing crop management advice to farmers/growers. By completingthis form you will be acting as a reference for the applicant named above.
Please answer the questions on the back of this form, and include any additional comments that you feel may be helpful. Thisform will be reviewed by the CCA Local Board to ensure that the applicant has the necessary experience to be certified as acrop adviser.
To become certified, a prospective applicant must pass the international and local board CCA examinations. Applicants musthave knowledge and skills in the areas of nutrient management, soil and water management, integrated pest management, andcrop management. As a reference, by checking 5 and 6 on this form, you are acknowledging that the applicant has skills inthese areas. The applicant must also have their credentials reviewed and meet one of the conditions below:
Two years of experience providing crop management advice to farmers/growers plus a baccalaureate degree in agricul-ture, r
Three years of experience providing crop management advice to farmers/growers plus an Associates Degree (Two Year)in Agriculture, r
Four years of experience providing crop management advice.
Plas sign his frmHave your signature witnessed or notarized and return to: CCA
5585 Guilford RoadMadison, WI 53711-5801
FORM 2
13
CUtHere
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Plas rspnd h fllwing ims and includ any prinn infrmain ha yu fl will aid in h valuain fh applicans crdnials.
1. In what capacity have you had association with the applicant? I am (was) the applicants:
Supervisor Client Other as: ___________________________
2. What length of time have you known the applicant in the above capacity? _____________ years
3. For what period of time did the applicant work for you providing crop management advice to farmers/growers?
From ________________ to ________________ . month/year month/year
4. Knowing the minimum requirements for CCA certification, do you feel qualified to recommendthis applicant to the localCCA board to become certified in the area of certification as stated on the reverse side?
Yes No
If yes, please proceed and complete the reference.If no, please give a brief statement in no. 7 of your reason(s); sign and return this letter immediately.
5. Do you feel that the applicant fully meets the eligibility requirements of the Certified Crop Adviser Program?
Yes No
6. Do you recommend this applicant to be certified by the local board as a Certified Crop Adviser?
Yes No
7. Please list any comments that will aid the local board in making a fair evaluation of this applicant.
Signature _________________________________________ Professional title ____________________________________(must be witnessed or notarized)
Organization _________________________ Location _______________________ Phone ___________________________
Witness or Notary Signature Required _____________________________________________________________________
Date _________________________________________
Please mail to: CCA, 5585 Guilford Road, Madison, WI 53711-580114
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Summary of College/Short Course Work
CERTIFIED CROP ADVISER
Transcripts DO NOT substitute for this form.
Cg Uvsy
__________________
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__________________
ls n fs n
Cus Hus c ocI. Core Courses . dp. t S. Q. G us
Agricultural Science Courses
agy
S Scc
Cp Scc
P Scc
egy
W Scc
P Phgy
Hcuu
tugss
oh Spcz Cps
(. 15 hus)
mu15 Ss hus 23 Qu hus
Total
15
II. Supporting Core Courses
Biological Sciences
By
Bgy
Zgy
Bchsy
mcbgy
Gcs
P Physgy
(. 6 hus)
mu6 Ss hus 9 Qu hus Total
CUtHere
Please mail to: CCA, 5585 Guilford Road, Madison, WI 53711-5801
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Cus Hus c oc. dp. t S. Q. G us
Physical Sciences
mh
igc Chsy
ogc Chsy
Physcs
Cgy
Sscs
Cpu Scc
agcuu eccs
(. 12 hus)
mu12 Ss hus 18 Qu hus
Total
16
III. Supporting Short Courses/Internship
AdditionalCrop Advising
Supporting Core Courses
Total
C Cp avs
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A.Renewal
1. Annual Rnwala. Certification may be renewed annually by payment
of the appropriate fee. At the end of the certificationcontinuing education cycle, renewal requires evi-dence of completion of continuing education unitsand the appropriate fee.
b. Renewal is due annually on 1 January, and is con-sidered delinquent if not paid within 30 days afterthe annual date. Certification is re-instated withpayment of the annual fee plus a late fee. The reg-istrants name will be dropped from the activeRegistry if the fee is not paid before 1 April.
B.CertificationMaintenance/ContinuingEducationRequirements
1. Every 2 years a Certified Crop Adviser must complete40 hours of continuing education units (CEUs). Onecontinuing education unit is equal to one hour of class-room training. Registrants are required to take a mini-mum of 20 CEUs that have been CCA Board approved.CEUs submitted by registrants are subject to be audit-ed by the registrants local CCA board.
2. A CCA registrants certification may be revoked forfailing to maintain the required CEUs. To regain certi-fication a registrant must appeal to the local CCAboard for reinstatement or pass the international andlocal board exam and meet the current eligibilityrequirement.
C.Denial,Revocation,orSuspensionofCertification
1. Righs and Rspnsibiliis
a. The right to deny, revoke, and suspend certificationis vested in the local CCA board.
b. Since the certification is entirely voluntary, theSociety (ASA) assumes no responsibility for anyloss or disadvantage, real or imagined, that may bealleged to have resulted from denial of certifica-tion, or revocation or suspension of an existingcertification.
2. Rasns fr Dnial, Rvcain, r Suspnsina. Certification may be denied, revoked, or suspended
for any of the following reasons:(1) If the local CCA boards Ethics and Standards
Committee determines that the applicant doesnot meet the minimum requirements as stated.
(2) Violation of rules, regulations, or the CCA Code
of Ethics established by the ICCA Board and theAmerican Society of Agronomy.
(3) Misrepresentation on an application or willfulsubmission of incorrect information or failure toinclude relevant information in any communica-tion to the local CCA board or Office of theRegistry.
(4) If the local CCA boards Ethics and StandardsCommittee has substantial proven charges ofincompetence in the area(s) of certification.
3. Appala. Any applicant denied certification has the right
of appeal and hearing before the entire localCCA board.
b. Any action to revoke or suspend certification shallbe preceded by a copy of the complaint.(1) Registrants will be given the opportunity to
appeal any such disciplinary action.
Crificain Mainnanc
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