MARYLAND NURSERY AND LANDSCAPE ASSOCIATION
Promoting the use of ornamental plants, products and services.  The association supports all constituent groups of the horticulture industry.


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MARYLAND NURSERY AND LANDSCAPE ASSOCIATION, INC.

P.O. BOX 726 BROOKLANDVILLE, MD 21022

 

Certified Professional Horticulturists Program

Application for Examination

 

NAME: _________________________________________  DATE: ____________________

 ADDRESS: ______________________________________ PHONE:___________________

CITY: ______________________         STATE: ____________             ZIP: ______________

 I certify that the information contained in this application is true. I understand that falsification of information in this application is grounds for revocation of certification.                                                                                                                                                                                                                                                                                                        Signature: ________________________

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         If sponsor is not a member of Association, this form will be returned         

 1.                    Maryland Nursery and Landscape Association Sponsor:

 

Sponsor signature _________________________________________                                Date: ____________________________

 

Name of sponsor __________________________________________

                                                              (Please Print)

Name of MNLA Member Firm with whom sponsor is associated: ____________________________________________

 

2.                    Education

 

Completed High School: ___Yes ___ No                       Year Graduated: __________

 

Completed   1 2 3 4 5     Years of College (Circle one)

 

Year Graduated: _________      Name of College, Degree (if any) and major: _________________________________

 

3.             Current Employer: _______________________       Your Position:___________________

                Address: ___________________________ City: __________________ State: ___________

                 Employer Phone Number: _________________

 

4.                    Previous Employers (Beginning with most recent)

 

A.            Name: _____________________________________                           Address: _______________________________

                 Employed from ____________ to _______________                          Position: _______________________________

 

B.            Name: _____________________________________                           Address: _______________________________

                 Employed from ____________ to _______________                          Position: _______________________________

 

C.            Name: ________________________________                                   Address: ___________________________

            Employed from ____________ to _______________                          Position: _______________________________

  

Note: 3 years of full-time employment within the Ornamental Horticulture Industry (2 years part-time, minimum 500 hours
 per year, will constitute one year of full-time employment), OR 2 years of full-time industry employment and 2 years
post-secondary education in horticulturally related fields, OR 1 year of employment and 4 years of post-secondary school
education.

LETTERS OF REFERENCE MUST BE SUBMITTED FROM EMPLOYERS, CURRENT AND PREVIOUS.

PLEASE INCLUDE CPH EXAMINATION FEE OF $125.00 WITH YOUR APPLICATION.

P.O. Box 726 - Brooklandville, Maryland 21022
Phone: 410-823-8684  Fax: 410-296-8288   E-mail: mnacma@aol.com