COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

1.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

2.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

3.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

4.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

5.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

6.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

7.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

8.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

9.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

COMPETENCY CERTIFICATION
Competencies/Skills to be acquired through OJT

(Separate sheets must be completed for each competency achieved. Competencies must be the same as appear in the Training Outline Section of the OJT Contract)	Approximate Training Hours Per Skill	Supervisor’s Signature to Attest Achievement of Competency	Date

10.	Hours
hours
hours
hours
The signature of the supervisor attests that the participant has achieved the competency stated. One signature is required for each competency.

ATTACHMENT B

Competency Certification #10	Page 10 of 10	REV. 07/01/2004

II

Tec of South Florida

2004-06-22

mruiz

TEC Of South Florida