APPLICATION FOR RENEWAL OF ACCREDITATION
TRUCK
INSTITUTION:
Name
Program
Street
City
State
Zip
Telephone
Program Website
ADMINISTRATOR OF THE INSTITUTION:
Name
Title
Telephone
E-mail
PERSON RESPONSIBLE FOR COORDINATION OF SELF-EVALUATION:
Name
Title
Telephone
E-mail
LEVEL OF PROGRAM BEING EVALUATED:
Secondary
Post-Secondary
1
Secondary & Post-Secondary
2007
PROGRAM HOURS
Record the number of hours of instruction in the laboratory or shop and in the classroom. Add
the two numbers to record the total program hours for the specialty areas requesting
accreditation.
** Complete the information only for the areas requesting accreditation.
AREA
LAB/SHOP +
CO-OP
CLASSROOM
=
PROGRAM
TOTAL
Diesel Engines
0
Suspension & Steering
0
Brakes
0
Electrical/Electronic Systems
Preventive Maintenance
Inspection
0
Drive Train
Heating, Ventilation & Air
Conditioning
0
Hydraulics
Gaseous Fuels Engine
Performance
CNG On-Board Fuel Storage
and Delivery
LNG On-Board Fuel Storage
and Delivery
LPG On-Board Fuel Storage
and Delivery
0
0
0
0
0
0
0
**IT IS UNDERSTOOD THAT ALL EXPENDITURES INCURRED FOR THE ONSITE EVALUATION WILL BE PAID BY THE AUTOMOBILE PROGRAM OR
INSTITUTION REQUESTING ACCREDITATION. **
Institution Administrator - Signature
Date
Institution Administrator - Name and Title (print or type)
Program Instructor - Signature
Date
Program Instructor - Name and Title (print or type)
2
2007
ADVISORY COMMITTEE MEMBERS
I SUPPORT THIS PROGRAM’S EFFORTS TO BECOME AN NATEF- ACCREDITED
AUTOMOBILE PROGRAM, AND HAVE PARTICIPATED IN THE SELF-EVALUATION
PROCESS AS REQUESTED BY PROGRAM PERSONNEL AND ADMINISTRATION.
1.
Signature
Printed or Typed Name
Date
Signature
Printed or Typed Name
Date
Signature
Printed or Typed Name
Date
Signature
Printed or Typed Name
Date
Signature
Printed or Typed Name
Date
2.
3.
4.
5.
6.
Signature
Printed or Typed Name
Date
Note: Programs submitting their application electronically, must agree to the following
statement:
By submitting this application electronically, I certify that the information I have provided on
this application is true and correct. By checking the "Yes" box below, I am “signing” the
application. Furthermore, by typing in names where signatures are required, I agree that a
complete paper copy of the application with signatures (Institution Administrator, Program
Instructor, and Advisory Committee Members) is available upon request.
Yes, I agree to the above statement
N/A (submitting signed application through mail)
3
2007
RENEWAL OF ACCREDITATION SUMMARY SHEET
STANDARD
RATING
RATING
STANDARD 1 - PURPOSE
The truck technician training program should have clearly stated program
goals, related to the needs of the students and employers served.
STANDARD 2 - ADMINISTRATION
Program administration should ensure that instructional activities support
and promote the goals of the program.
Does the Advisory Committee convene a minimum of two
working meetings per year with at least five in attendance
(excluding school personnel)?
Yes
No
Yes
NO
Yes
Yes
No
STANDARD 3 - LEARNING RESOURCES
Support materials, consistent with both program goals and performance
objectives, should be available to staff and students.
STANDARD 4 - FINANCES
Funding should be provided to meet the program goals and performance
objectives.
STANDARD 5 - STUDENT SERVICES
Systematic skills assessment, interviews, counseling services, placement
and follow-up procedures should be used.
Does the Advisory Committee review the information from
an annual follow-up procedure and provide input for modifications
to the program?
4
No
2007
STANDARD
RATING
STANDARD 6 – INSTRUCTION
Instruction must be systematic and reflect program goals. A task list and
specific performance objectives with criterion referenced measures must
be used.
Tuck Area*
# of
Hours
%
P-1
%
P-2
%
P-3
Diesel Engines
Suspension & Steering
Brakes
Electrical/Electronic Systems
Preventive Maintenance Inspection
Drive Train
Heating, Ventilation & Air Conditioning
Hydraulics
Gaseous Fuels Engine Performance
CNG On-Board Fuel Storage and Delivery
LNG On-Board Fuel Storage and Delivery
LPG On-Board Fuel Storage and Delivery
*Fill out only those areas in which the program is applying for accreditation.
Are the tools and equipment available for the tasks taught in each program area?*
Truck Area
Area Rating
Diesel Engines
Yes
Suspension & Steering
Yes
Brakes
Yes
Electrical/Electronic Systems
Yes
Preventive Maintenance Inspection
Yes
Drive Train
Yes
Heating, Ventilation & Air Conditioning
Yes
Hydraulics
Yes
Gaseous Fuels Engine Performance
Yes
CNG On-Board Fuel Storage and Delivery
Yes
LNG On-Board Fuel Storage and Delivery
Yes
LPG On-Board Fuel Storage and Delivery
Yes
*Respond only to those areas in which the program is applying for accreditation.
5
No
No
No
No
No
No
No
No
No
No
No
No
2007
STANDARD 7 – EQUIPMENT
______
Equipment and tools used in the truck technician training program
must be of the type and quality found in the repair industry and must
also be the type needed to provide training to meet the program goals
and performance objectives.
Are all shields, guards, and other safety devices in place, operable, and used?
Yes
No
Do all students, instructors, and visitors wear safety glasses in the lab/shop
area while lab is in session?
Yes
No
Do all instructors hold current ASE certification in the area(s) they teach?
Yes
No
Do all instructors attend a minimum of 20 hours per year of recognized
industry update training relevant to the areas in which the program is
accredited?
Yes
No
STANDARD 8 - FACILITIES
The physical facilities must be adequate to permit achievement of the
program goals and performance objectives.
STANDARD 9 - INSTRUCTIONAL STAFF
The instructional staff must have technical competency and meet all state
and local requirements for accreditation.
STANDARD 10 - COOPERATIVE AGREEMENTS
Written policies and procedures should be used for cooperative and
apprenticeship training programs (N/A if program does not offer
cooperative/apprenticeship programs).
6
2007
ON-SITE EVALUATION TEAM MEMBER LIST
Truck Renewal of accreditation
NOTE: There must be one evaluation team member from a dealership, one evaluation team member from
an independent repair facility, and one alternate team member (dealership or independent repair facility)
identified for a renewal of accreditation on-site evaluation. See the "Information About On-site
Evaluation Teams" section for selection criteria.
*For alternative fuels accreditation, there must be two evaluation team members, plus one alternate, who
are practicing automotive technicians. At least one of the team members must have at least three years of
field experience with alternative fuel(s) included for program accreditation.
* Team members must not be Advisory Committee members, former students, or
instructors of the program within the past ten years.
1.
TEAM MEMBER #1:
Name
Position (Title)
Company Name
Company Address
Years of hands-on experience: Total Truck
CNG
LNG
High school graduate or equivalent:
LPG
YES
NO
ASE Automobile Certifications (recommended):
7
2007
2.
TEAM MEMBER #2:
Name
Position (Title)
Company Name
Company Address
Years of hands-on experience: Total Truck
CNG
LNG
High school graduate or equivalent:
LPG
YES
NO
ASE Automobile Certifications (recommended):
ALTERNATE TEAM MEMBER
Name
Position (Title)
Company Name
Company Address
Years of hands-on experience: Total Truck
CNG
LNG
High school graduate or equivalent:
LPG
YES
NO
ASE Automobile Certifications (recommended):
8
2007
TRUCK INSTRUCTOR QUALIFICATION SHEET
Instructor
ASE ID# (required)
(please print or type)
(as it appears on your certificate)
Current ASE Certifications:
T-2
Valid Until
Diesel Engines
T-3 Drive Train
T-4 Brakes
T-5 Suspension & Steering
T-6 Electrical/Electronic Systems
T-7 Heating, Ventilation & Air Conditioning
T-8 Preventive Maintenance Inspection
Please indicate the areas taught by this instructor:
Diesel Engines
Drive Train
Brakes
Suspension & Steering
Electrical/Electronic Systems
Heating, Ventilation and Air Conditioning
Preventive Maintenance Inspection
Hydraulics
9
2007
INSTRUCTOR TRAINING FORM
Instructors are required to attend a minimum of 20 hours per year of recognized industry update
training relevant to the areas in which their program is accredited. Please list all industry update
training for the past year. Use a separate page for each instructor and attach to appropriate
Instructor Qualification Sheet.
Instructor:
Date of
Training
Provider Name
Course Name
10
Hours
2007
ADVISORY COMMITTEE LIST
Please list the names of all members of the Program Advisory Committee and indicate the
category that each represents (a minimum total of five (5) members is required). Instructors and
administrators of the program are not eligible to be advisory committee members. Committee
members should represent a broad cross-section of the local industry in the area the program
serves. Possible categories that advisory committee members might represent are:
Truck Technicians
Consumer Groups
Parents
Local Employers
Former Students
Automotive Trainers
NAME
CATEGORY REPRESENTED
(ADD MORE SHEETS IF NECESSARY TO INCLUDE FULL COMMITTEE)
11
2007

APPLIED ACADEMICS RECOGNITION (OPTIONAL)
Note: For more information, refer to the Applied Academics Recognition page in the
Policies Section.
Program Name
Truck Instructor(s) to be recognized:
Academic areas and instructors to be recognized:
Language Arts Instructor:
Mathematics Instructor:
Science Instructor:
Please answer 1-6 on a separate page.
1. Briefly describe the coordination between the truck and the academic department(s) for
planning, developing, and teaching integrated academic skills to automotive technician
students.
2. How often do the automotive and academic instructors meet to plan and coordinate
classroom activities?
3. Do automotive and academic instructors team teach automotive students? If so, describe the
activities and responsibilities of the instructors.
4. Are automotive and academic instructors actively involved with automotive student
organizations, activities, or competitions? If so, describe the activities.
5. Are students given academic credit for their technical classes?
6. If applicable, describe how the Applied Academics and Workplace Skills for Medium/Heavy
Duty Truck Technicians book was used to integrate academic and technical skills student
activities.
12
2007
PAYMENT WORKSHEET
Please include the following applicable fees with your renewal of accreditation
application. Payment must be included for your application to be processed. Forms of payment
include purchase order, check made out to NATEF, or credit card (MC/VISA, or American
Express). Please indicate method of payment below.
School Name
School Address
City
State
Accreditation Documents
$ 82.00
Application Fee:
(accreditation and reaccreditation)
$315.00
*On-site Team Packets:
Reaccreditation (3 @ $65 each)
ZipCode
$195.00
$592.00 total to be enclosed
Method of payment
Purchase Order
please include copy of PO
Check
MasterCard/Visa/AMEX
Card Number
Exp. Date (MM/YYYY)
Month/Year
Name as it appears on card
Cardholder signature
*Payment of the ETL honorarium and the ETL expenses must be made directly to
the ETL. Payment or arrangements for payment must be made at the time of
the on-site visit. Do not send ETL payments to NATEF
13
2007