Name _____________________________________Date ______________________________ Ag Ed Option_____________________________________
In order to be certified as an Agricultural Science & Technology teacher in Oregon you must have completed two years (1040 hours) of occupational experience in agriculture, after your fourteenth (14th) birth date. List below all applicable work experience that you have completed. Two years of that experience must be verified by some responsible individual (other than a parent) who is knowledgeable of your experiences. (Refer to back of this sheet for details).
| Duration of Experience(Mo./Yr.) | Hrs.ExperienceCompleted | Name of Employer(Indicate if Self-Employed) | Parent | Job Title/Description*(Describe major responsibilities) | Name, Address, Phone of individual who will verify experience | (Office Use)Date/SourceVerification
Completed |
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| DateStarted | DateCompleted | ||||||
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The responsibility for verification of 2 years (1040 hours) of agricultural occupational experience lies with the teacher trainee. Applicable experience may include either production agriculture (farming, ranching) and/or agriculture related business experience. You are strongly encouraged to obtain broad occupational experience in both the crops and animal phases of production agriculture.
Your occupational experience will be evaluated by the Joint Agricultural Education Staff (OSU-ODE). You will be advised within 90 days after submission of this form and related verifications concerning the status of your experience requirements. You are encouraged to complete this verification early in your teacher preparation effort so as to have opportunity to correct any deficiency. This verification must be completed and approved prior to OSU approval of your teacher certification application.
