Outreach Certification Form 2025

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  1. Click ‘Get Form’ to open the Outreach Certification Form in our platform's editor.
  2. Begin by entering the date and your initials at the top of the form. This helps track when you completed the certification.
  3. Fill in your name, grade, advisor, and room number in the designated fields. Accurate information is crucial for proper verification.
  4. In the 'Activity Name and Location of CSL Service' section, provide a clear description of where you performed your community service.
  5. Detail your service in the 'Description of Service Completed' field. Be specific about what tasks you undertook during your outreach efforts.
  6. Reflect on your experience in the 'Reflections' section. Explain how your service benefited others and what personal insights you gained.
  7. Indicate the total number of hours served and the date of service in their respective fields.
  8. Complete the 'Service Supervisor Information' section by providing their name, position, signature, telephone number, and email address for verification purposes.
  9. Finally, ensure that either written or verbal verification is checked off before submitting it to Mr. Hart or another designated staff member.

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Source: U.S. Department of Labor. OSHA cards are plastic, wallet-sized cards that the U.S. Department of Labor (DOL) issues to students who complete a course in the OSHA Outreach Training Program. The purpose of this safety training program is to teach workers how to recognize and avoid common job-related hazards.
Yes. All of the training under 1910.120 is to be provided without cost to employees. The language was drafted similar to the expanded health standards (e.g., benzene, lead).
Answer: To obtain a replacement 10-hour or 30-hour card, contact your Outreach trainer. A replacement card can only be issued if the class was taken within the last five years and only one replacement card may be issued per student per class.
OSHA authorizes trainers to conduct occupational safety and health training through the OSHA Outreach Training Program. Through this program, individuals who complete a one-week OSHA trainer course receive a certificate of completion and an authorized outreach trainer card.
Both online and in-person learning formats enable workers to complete their OSHA-authorized training and earn an official OSHA card. For either option, the course you should take depends on your industry and job role.

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The Outreach Training Program is a voluntary program. Its purpose is to promote workplace safety and health and to make workers more knowledgeable about workplace hazards and their rights. Outreach training does not fulfill the training requirements found in OSHA standards.
Get Trained or Become a Trainer The OSHA Outreach Training Program provides workers with basic and more advanced training about common safety and health hazards on the job. Students receive an OSHA 10-hour or 30-hour course completion card at the end of the training.

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