UMass Extension
Pesticide Education Program


Pesticide Applicator License Exam Prep Training Workshop
Registration Form

There are three ways to register for the workshop.

1. For a 2018 Training Workshops information and registration form that you can mail in with your registration check click here.

2. We can also accept credit cards for payment of the workshop fee ($145.00/person) using an online registration process. There will be an additional online service fee of approximately $11.00 for each registration. Before you register for the workshop please be advised that you are required to have the 2017/2018 pesticide exam study manuals (Core Manual 3rd edition, 2014 Massachusetts Core Supplement, 2015 Massachusetts Pesticide Control Act & 2016 Mass. Pesticide Regulations). You should order these manuals before you sign up for the workshop. Call the UMass Extension Bookstore at 413-545-5227 or online at the UMassExtensionBookstore to order the study manuals.

Register online for the June 13 & 14 workshop in Marlborough click here.

Register online for the June 27 & 28 workshop in Milford click here.

3. 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 Amherst, MA Doubletree by Hilton, Milford, MA Cranberry Experiment Station, East Wareham
June 13 & 14
July 25 & 26
Sept. 5 & 7
Sept. 26 & 28
Oct. 24 & 26
Nov. 28 7 30
May 31 & June 1 canceled
spring 2019

June 27 & 28
August 8 & 9
Spring 2019

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 $145.00/person. (This fee only covers the cost of the workshop. There is an additional fee of $11.00 if you choose to pay by credit card online. Pesticide exam study materials and exam fees are not included. Please order your pesticide exam study materials separately as soon as possible)

Make the check or money order payable to University of Massachusetts. 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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