HUD-308 HUD Manufactued Home Installation Trainer Registration A

HUD Manufactured Home
Installation Trainer
Registration Application

U.S. Department of Housing and Urban Development
Office of Manufactured Housing Programs

OMB Approval No.2502-0578
Expires 7/31/2022

The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 307 require personnel or entities who provide
installation training to manufactured home installers to provide qualification information to HUD. The information collected here will be used to register
qualified trainers who provide instruction to certify manufactured home installers as appropriate under these regulations. Public record burden for the
collection of information is estimated to average 2.5 hours per response including the time to review instructions, search existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collected information. Response to this information is required to register and retain
installer trainer registration. This agency may not collect this information, and you are not required to complete this form, unless the form displays a curre
ntly valid OMB control number.
``Applicant’s Legal Name
Applicant’s Mailing Address (P.O. Box not acceptable)
Applicant’s Phone Number

Date of Application

Check One Box:
□ New Application
□ Renewal (Date of Expiration of Current Registration ___________________)

Application by an Entity
List the names of all trainers to be registered and attach evidence of experience for each if this application is being made in the name of an entity.

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_____________________________
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Proof of Experience (not required for renewal)
Experience Exemption Request –
Applicant is licensed or certified as a manufactured home installer trainer in a State with a qualifying installation program?
□ No □ Yes (Attach the appropriate proof of such license or certification to this application.)

Prerequisite –
□ 3,600 Hours experience in the following: (Check all appropriate boxes.)
□ as a supervisor of manufactured home installations;
□ as a supervisor in the building construction industry;
□ in design work related to the building construction industry; OR
□ completed a 2 year educational program in construction-related field

Experience verification – Check one box and attach the appropriate documents to this application
□ Statements of experience by past or present employers, OR
□ Self certification statement

Additional Experience – Does the applicant have previous experience as a trainer?
□ No
□ Yes (Submit dates and type of experience.)

Revocation, Suspension, or Denial –
Has a license or certification to perform manufactured home installation training been revoked, suspended or denied in a State
with a qualifying installation program for any listed trainers above? □ No □ Yes
If yes, attach the list of states and an explanation.

Applicant Certification Statement

By signing this application, the applicant identified here in certifies its belief that all of the requirements of the Manufactured Housing
Installation Regulations, 24 CFR Part 3286, have been met, and that training curriculum will be provided in accordance with these
regulations. It is a crime to knowingly make false statements and/or certifications in any matter within the jurisdiction of the
United States such as the certification on this or any similar form. Penalties upon conviction can include a fine and imprisonment.
See 18 U.S. Code Section 1001.
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Applicant’s Signature

Distribution:

HUD

_______________
Date

Form HUD-308