To register for free Lead Classes, submit the form below!

STEP-BY-STEP INSTRUCTIONS BELOW

Don't call the trainer on how to complete this form, Read the below instructions

The Student Accreditation Registration Form that  is needed to take a class is located above. (RED BOX)

YOU DON'T NEED TO SIGN THE FORM, IF YOU COMPLETE IT ONLINE!

One form per student per class!

Eligible Class Dates are listed at  Calendar & Photos (ldctp.com)

  (Remember the information on this form is the student information) 

STEP 1. Complete the Student Information section: with the student information, est. 

Student Name, Address, Phone # we can reach you at, and Email.

Company information can be added. However, check the box to confirm if the company address or student address will be used on the class certification.

STEP 2. Training Course: 

Check the actual class the student will be taking; also, put the date of the class.

(Remember, a worker can take the Lead Abatement Contractor Class 

and be license as a worker)

But in this section, you must check the actual class you want to take.

STEP 3. Type of work interested in or currently performing for Development and or ODH Grant:

In this section, check the type of work you are willing to do after completing the training,

(Remember that counties can call and ask you to work in their county, however, you have to decide it you want to work for that county.)

STEP 4. Select the Counties in which you are willing to participate:

If you select State-wide, this means you are willing to consider working in any county that requests your services. 

If you check the Statewide box you do not have to pick counties. If you don't check the State-wide box, you do have to check or mark the counties on the Ohio map that you are willing to work in.

STEP 5. Student verification proof submitted for training:

In this section, you need to check if you are currently working with a program, 

provide the program contact person information and submit your proof, Ex: check, invoice, or something with the program OR your company name.

If you are not currently working with a program but willing to work with a program, 

check the willingness to work with a program. If there is a program that you have contacted 

give the Program name, Contact Person, Phone #, and date of contact.

STEP 6. Student Signature: 

You don't have to sign the form before you submit it, you can sign the form when you take the class!

The student must sign and print their name so that it can be  recognized as being the student that signed the form remember this form has to be completed for each class the student wants to take.

STEP 7. Submission of Application: 

Once the application is completely filled out, per the instructions listed above, you can 

email it to: alsldctp@gmail.com (In the subject bar, you will put your first and last name and Phone Number.Once the appliaction is received, you will be notified, by email or by the phone number listed on your application.)

fax it to: (234) 678-8536 or

mail to: 650 Eva Ave., Akron, Ohio 44306. If you live close you can stop by during or after hours and drop it in the building mailbox.

(This application must be submitted at least four business days prior to the scheduled class you've selected)

Ohio Department of Health (ODH) Workforce Development Licensure Fund Form

Individuals who completed the initial lead abatement contractor, lead abatement worker, Inspector, and or Risk Assessor training may be eligible for funds to pay their initial license fees. 

Funding is limited and available on a first-come, first-serve basis, or until funds are spent. 

Interested individuals should carefully read all instructions and complete the 

Workforce Development Licensure Fund Form at the end of the insturctions:

Submit a complete application to the Ohio Department of Health,  Attn: Shannon Yiannaki, 

246 North High Street, Columbus, Ohio 43215 . 

(Incomplete or unreadable forms will not be accepted, the instructor will only 

respond when a properly completed form is submitted. Failure to complete the Student Lead Training Accreditation form listed above, will make you not eligible for the requested class. 

1. Students must submit the Student Lead Training  Accreditation form above with their proof or the willingness to work with rural areas non-major metropolitan areas box if they don't have proof.
2. Student Lead Training  Accreditation form, all section of the form must be completed, correctly, do not call the trainer on how to complete the form read the instruction on how to complete the form, incomplete form will not be accepted and may cost you your spot in the upcoming class
3. Must complete and pass the training session to be eligible for state license and test fee being waived

Student will be added to classes based on when the trainer received the completed form

If the class they want to take is full, they will be added to the next available class!

Students can email this information to  alsldctp@gmail.com 

(You don't have to sign the form, to submit it)

(When completing the Student Lead Training Accreditation Form, be sure to put the class date on the form)

This information will not be taken or corrected by phone!