Indiana DNR CUF- Consultant Directory Update

Consultant Information

Basic consultant contact information and credentials.

Question Title

* 1. Main Contact Information

Name: *

Company: *

Address:

Address 2:

City/Town:

State:

ZIP:

Cell:

Email Address: *

Phone Number: *

Question Title

* 2. What Areas of the state do you cover? (Check all that apply)

Northwest

Northcentral

Northeast

West Central

Central

East Central

Southwest

Southcentral

Southeast

Question Title

* 3. When are you available?

Week Days

Week Day Evenings

Weekends

Question Title

* 4. Professional Affiliations/ Certifications? (Chek all that apply)

ISA Certified Arborist

ISA Certified Municipal Specialist

ISA Certified Utility Specialist

ISA Certified Tree Worker

Society of American Forsters (SAF)

American Society of Landscape Architects (ASLA)

IAA

ASCA Registered Consulting Arborist

Tree Care Industry Association (TCIA)

Society of Municipal Arborists (SMA)

Municipal Forestry Institute (MFI)- Training Completed

Other (please specify)

Question Title

* 1. Main Contact Information

Question Title

* 2. What Areas of the state do you cover? (Check all that apply)

Question Title

* 3. When are you available?

Question Title

* 4. Professional Affiliations/ Certifications? (Chek all that apply)

Question Title

* 5. If you hold a certification please provide Certification Number(s) here.