• CERTIFYING AGENT REGISTRATION FORM

    CERTIFYING AGENT REGISTRATION FORM

    For the Florida Green Home Designation Program

  • To register with the Florida Green Building Coalition (FGBC) as a Certifying Agent for the Florida Green Home Designation Program, please follow the instructions below.

  • INSTRUCTIONS

    1. Complete the form in its entirety, including signing the affidavit
    2. Provide your contact information that is most appropriate for FGBC communications
    3. Pay the appropriate fees: $50; All FGBC Certifying Agents are required to be members of FGBC. Submit the FGBC membership application with your registration if you are not currently an FGBC member.
    4. Send application package to Email: [email protected] 
  • Are you currently a member of FGBC*
  • Date You Completed the Florida Green Home Designation Course*
     / /
  • Do you want your contact information to appear in the FGBC Certifying Agent Online Directory*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Have you ever had a professional designation revoked by a certification entity?*
  • Completed Requirements

  • AFFIDAVIT

  • I have read and understand all provisions set forth in the Florida Green Home Designation Standard document and the Code of Professional Conduct. I agree to comply with all such provisions and understand that the provisions may change as time progresses. I pledge to maintain a working knowledge of the basis for the Florida Green Home Designation, and the documents used for certification including the Florida Green Home Standard Polices, Checklist and Reference Guide. I agree to report each certified Green Home to the Florida Green Building Coalition. I understand that this registration is good for one year and that I must continue to register each year to maintain good standing.

  • PAYMENT INFORMATION:

    Make checks payable to Florida Green Building Coalition or “FGBC” or pay online on at: https://form.jotform.com/13213329711

    222 2nd Street North, St. Petersburg, FL 33701

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  • MINIMUM REQUIREMENTS TO BECOME AN FGBC CERTIFYING AGENT

  • All three requirements must be successfully completed in order to register as an FGBC Certifying Agent.

  • REQUIREMENT # 1

  • One year experience in the home building industry: Verification of experience will require written references to such activity in at least one of the below listed professions:

    • Residential trade contractor or builder experience either on the jobsite or in management
    • Superintendent or other jobsite supervision
    • Licensed or qualified home inspector or certified energy rater
    • Residential design or architectural work
    • Residential land development management
    • Green building verification for another green certification
    • Construction consulting or training 

  • Include or email resume and/or description of experience with dates.

  • REQUIREMENT # 2

  • 14 hours of Green Home Construction Education completed in the last two years.

    • Courses must specifically emphasize Green Home construction techniques and concepts
    • Course description/syllabus must be submitted with Home Certifying Agent Application
    • Review of course work completed by the applicant is subject to FGBC approval
    • Instructors may receive CE credits once for teaching an approved course

    Include course agenda, description, or course web link.

  • Course Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Course Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Course Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Course Date
     / /
    2 digit month, 2 digit day, 4 digit year

  • REQUIREMENT # 3

  • Successful completion of two-day Florida Green Home Certification Training and exam

  • Should be Empty: