UMass Extension
Pesticide Education Program


Pesticide Applicator License Exam Prep Training Workshop
Registration Form

There are two ways to register for the workshop.

The online system for accepting credit cards is not available at this time.

1. For a 2019 Training Workshops information and registration form that you can mail in with your registration check click here.

2. Or you can fill in and print the form below and mail in with your registration check.

Your Name/Company:
City: State: Zipcode:
Daytime Phone:
Fax Number:

Please select the location and date of the workshop you wish to attend. Please consider selecting a workshop that is held at least 1 week before your exam.:

Best Western Royal Plaza Hotel, Marlborough, MA Western Ma: TBA Doubletree by Hilton, Milford, MA Cranberry Experiment Station, East Wareham

Feb 7 & 8
March 7 & 8
March 14 & 15
April 11 & 12
April 30 & May 1
new dates Feb 21 & 22 (STCC, Springfield)
March 5 & 6 (Amherst, TBA)
Apr 16 & 19 (STCC, Springfield)
May 7 & 8 (Amherst, TBA)

Feb 20 & 21 is canceled
Feb 28 & Mar 1 March 28 & 29 April 25 & 26
Feb 14 & 15
Apr 9 & 10
Apr 4 & 5, on Nantucket, MA
For our information, what date will you take the exam?
    What type of work will you be doing? Landscaping
    Lawncare/Golf Course
    Towns - DPW
    Housing Authority

Reset this Form:

The registration fee is $165.00/person. (This fee only covers the cost of the workshop. Pesticide exam study materials and exam fees are not included. Please order your pesticide exam study materials separately as soon as possible)

There is a $10 discount if you choose to pay by check. Make the check or money order payable to University of Massachusetts in the amount $155.00/person. Governmental Purchase orders may be submitted via fax (413)545-3075. Tax ID Number is 043-167-352. University of Massachusetts W-9 Form.

Print (2) copies of this form, keep one copy for your records and mail the other copy with your check or money order to:

Pesticide Education
French Hall
230 Stockbridge Road
University of Massachusetts
Amherst, MA 01003-9316

If you have any questions regarding these workshops, call the Pesticide Education office, University of Massachusetts Extension at (413) 545-1044

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