 Dear Prevention Specialist:
Our records indicate that your Prevention Specialist credential is up for renewal. Recertification is a one (1) year cycle running from July 1 through June 30. Payment must be received by June 30, 2008.
In accordance with ICRC International standards, you should submit to this office the following four (4) items:
1. Documentation of twenty (20) hours of Prevention related workshops with three (3) of these in ethics.
2. A brief summary statement reflecting your work in, and contribution to, the field of Prevention during the past year, signed by yourself and one other person,
(either your supervisor/consultant or a person in authority in your agency who is knowledgeable of your prevention work).
3. Recertification/membership fee. Your updated Prevention Certificate will be mailed to you on completion of the total process.
4. Signed Code of Ethics (enclosed) for the Recertification period.
Your CPS is reciprocal with other ICRC states with this credential.
Please indicate which fee, return with training hours, and print your name exactly as you would like it to appear on your certificate (no titles will appear on card).
_____________________________ ____________________________ ________________
Name Daytime Telephone # e-mail
One-year ODAPCCB PREVENTION SPECIALIST certification and membership fee $81.00_____
Optional fee for ICPS International Consortium credentialing fee $24.00_____
Make checks payable to ODAPCCB in the amount of $81.00 or $105.00
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