2409.17_8.5_exhibit_05
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FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8
– SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND
EVALUATIONS
Supplement No.: 2409.17-2011-3
Effective Date: October 28, 2011
Duration: This supplement is effective until superseded or removed.
Approved: JOEL A. KRAUSE FOR
LESLIE A. C. WELDON
Date Approved: 10/21/2011
Regional Forester
Posting Instructions: Supplements are numbered consecutively by Handbook number and calendar year. Post by document; remove the entire document and replace it with this supplement. Retain this transmittal as the first page(s) of this document. The last supplement to this Handbook was 2409.17-2011-2 to Chapter 2.
New Document 2409.17-2011-3 (2709.17_8.5_exhibit_05) 7 Pages
Superseded Document(s) None
Digest:
8.5_exhibit_05
- This supplement adds new form Questionnaire of Experience in Forest Ecology and Silviculture (FS-R1-2400-1) .

R1 SUPPLEMENT 2409.17-2011-3 2409.17_8.5_exhibit_05
EFFECTIVE DATE: 10/29/2011 Page 2 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05
USDA
– Forest Service
R1-FS-2400-1 (8/11))
QUESTIONNAIRE OF EXPERIENCE IN FOREST ECOLOGY AND SILVICULTURE
(Ref. FSH 2409.17, sec. 8.5)
NAME DATE
PRESENT POSITION
EMPLOYER
DUTY STATION
JOB DESCRIPTION
YEARS IN PRESENT POSITION
YEARS EMPLOYED
TOWN
Work Supervisor’s Review: Signature
Title
Date:
PROFESSIONAL LEVEL EXPERIENCE REQUIREMENTS PRIOR TO CERTIFICATION
At a minimum 50% accomplished prior to NASP
Balance acquired within 2 years of applying to NASP
Unit Forest Supervisor & District Ranger Review: Signature(s):
District Ranger Signature: _____________________________________
EXPERIENCE
TYPE OF WORK EXPERIENCE REQUIRED AMOUNT COMPLETED
Stand Examination
Timber Sale Layout
1 Season (3 months)
2 Seasons
Timber Sale Administration
Reforestation
Timber Stand Improvement
Integrated Management Planning
Silvicultural Prescription
1 Season
2 Seasons
1 Season
1 Season
1 Season

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EFFECTIVE DATE: 10/29/2011 Page 3 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05--Continued
Work experience in different operational categories can accrue simultaneously. Additional experience in any one category cannot be substituted for a lacking category. Qualifying experience can be gained during the period the candidate is attending NASP.
EDUCATIONAL BACKGROUND
Education – Undergraduate
DEGREE YEAR
Graduate
Degree From
DEGREE YEAR
Summary of Academic (College Level) Experience
(Not required if transcripts are enclosed)
DISCIPLINE
Statistics and Sampling
NUMBER OF COURSES
Silvics/Silviculture
Genetics
Biology
Soils
Entomology
Pathology
QUESTIONNAIRE OF EXPERIENCE
1. Experience as a Forestry Technician:
FOREST AND DISTRICT YEARS/MONTHS

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EFFECTIVE DATE: 10/29/2011 Page 4 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05--Continued
2. Experience as a Professional Forester:
YEARS/MONTHS
FOREST AND DISTRICT TOTAL TIME TIME IN SILVICULTURE
3. Forestry Experience by Seasons:
For the following, describe by professional and technician experience separately. A season is considered to be three months. Several work assignments may have occurred during the same season and should be reported separately. a. STAND EXAMINATION – This is a systemic taking of sample plots to determine stand statistics for
Timber Sale Planning, to assess stand performance, or for monitoring responses to Silvicultural treatment
(exclusive of survival counts and stocking surveys to determine stocking needs.)
1) Number of seasons and locations.
2) Number of stands.
3) Did you design the sample in respect to number of plots and their location?
If yes, for what percent of the stands?
4) Did you subjectively determine crop trees versus trees during exam?
If yes, for what percent of the stands?
5) Were silviculture treatment recommendations made as part of the exam?
If yes, for what percent of the stands?

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EFFECTIVE DATE: 10/29/2011 Page 5 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05--Continued b. TIMBER SALE LAYOUT – This includes designation of cutting unit boundaries, designation of leave and cut trees, P-line location for roads, determination of logging methods and skidding plan, skyline profiles, and cruising.
1) Number of seasons and locations.
2) Number of cutting units layed out and marked.
3) Number of cruise plans developed.
4) Number of timber sales cruised. c. TIMBER SALE ADMINISTRATION – This includes inspection and supervision of harvesting operations; designation of skid trails; approval of landings, temporary road locations, and any changes in logging plan; contractual compliance; and evaluation of feasibility of implementing silviculture prescriptions.
1) Number of seasons and locations.
2) Number of units responsible for.
3) Types of harvest operations administered (CC, ST, SW, etc.)
4) Types of logging equipment supervised (tractor, skyline, highlead, etc.) d. REFORESTATION – This includes survival surveys, animal control, planting supervision and inspection, tree planting, cone collection, identification of superior trees for tree improvement, administration of site preparation contracts, care and handling of seedlings, preparation of planting contract specifications, and tree improvement.
1) Number of seasons and locations.
2) Number of acres of planning operation supervised or inspected (force account or contract)
3) Number of stands of survival surveys and plantation evaluation.
4) Number of seasons responsible for the cone collection program.
5) Number of planting contracts prepared.
6) Number of tree improvement plans revised or implemented.

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EFFECTIVE DATE: 10/29/2011 Page 6 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05--Continued
7) Number of site preparation contracts administered. e. TIMBER STAND IMPROVEMENT – This involves evaluation for treatment need and treatment success, pre-commercial thinning, release, pesticide use, fertilization, and pet control.
1) Number of seasons and locations.
2) Number of stands treated with herbicides, aerial
3) Pre-commercial thinning or release contract or projects administered. ground f. INTEGRATED MANAGEMENT PLANNING
1) Number of environmental assessment reports or impact statements prepared.
2) Number of ID teams participated on, in which role was to provide vegetative input.
3) Describe contribution to unit plans and/or integrated land management plan.
4) Describe experience with assessments completed at multiple scales.
5) Describe experience working on appeal responses for appeals of Forest Plans or timber sale projects. g. SILVICULTURAL PRESCRIPTIONS
1) Number of seasons involved in preparing silvicultural treatment prescriptions (and locations)
2) How many prescriptions prepared for: a) Clearcuts - b) Shelterwood - c) Seed tree - d) Selection -

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EFFECTIVE DATE: 10/29/2011 Page 7 of 7
DURATION: This supplement is effective until superseded or removed.
FSH 2409.17 – SILVICULTURAL PRACTICES HANDBOOK
CHAPTER 8 – SILVICULTURAL EXAMINATIONS, PRESCRIPTIONS, AND EVALUATIONS
8.5 - Exhibit 05--Continued e) Salvage - f) Sanitation - g) Commercial thin
- h) Planting - i) Precommercial thin - j) Release – Chemical- k) Seed Production Areas
-
Manual
3) What percent of prescriptions were reviewed by a Certified
Silviculturist?
Additional Comments: