If more than one person on the farm wishes to conduct inspections as an SRI, and have those count toward a dues waiver, then this survey should be completed separately by each person. 

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* Your Name:

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* Farm Name:

Please initial each statement that applies to you below. 

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* I declare and affirm that I have conducted at least two on-site CNG inspections of at least two different farms.

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* I have read and understood the Remote Inspection Checklists, and agree to adhere to these procedures. If I have recommendations for how to improve them, I will contact CNG staff with my suggestions. 

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* I understand that the purpose of the SRI program is to improve member retention by helping farmers complete the inspection process when they'd otherwise find it difficult. I understand that's why CNG expects SRIs to prioritize farms whose most recent CNG inspection was at least 14 months ago.

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* I understand that I can identify farms whose inspections are due by looking at the listing of CNG farms in any state when I'm logged into my certification account. The farms whose last inspection was at least 12 months ago will be indicted with a red calendar. I can further hone in on those whose inspections were at least 14 months ago (vs. just 12) by looking at the farm's profile, and clicking the "inspection reports" link at the bottom of their profile page.

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* I understand that CNG's Remote Inspection Policy defines who qualifies to be inspected remotely, and that not all CNG farms can automatically be considered for a remote inspection. 

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* I have reviewed and will adhere to the Inspection Guidelines which define what inspections are considered valid, and which are invalid, for each certification type. Examples of invalid inspections are those that are "traded" and those that were conducted by a "repeat" inspector. I understand that if I have any questions, I can and should contact CNG staff for clarification.

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* Please select which of the following statements applies to you:

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* I understand that in order to receive credit for the inspections I conduct I will need to follow CNG's guidance for SRI perks, including submitting the Certification Dues Credit Form.

Please sign and date below:

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* Full name(s)

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* Date

Date

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