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NATIONAL PARTNERSHIP FOR ENVIRONMENTAL TECHNOLOGY EDUCATION
PETE

Application: The AI Builders Workshop – EHS Edition for CCCHST Members

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Step 1 of 10 – Contractual Information

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Co-hosted by Pamlico Community College and National PETE


This training program is supported by a grant from the National Institute of Environmental Health
Sciences (NIEHS), National Institutes of Health (NIH) Award 5U45ES037431-02

2026 AI Builders Workshop Application
EHS Edition for CCCHST Members Only
November 3-5, 2026 | Delamar Center, Grantsboro, NC


Participation in the AI Builders Workshop is granted through a formal application process due to limited slots. Submission of this application does not guarantee a seat. Applicants will be notified of acceptance by September 18th. Details for travel arrangements will be sent at that time.

Application Deadline: September 16, 2026.
Notification of Acceptance: If Accepted, notifications will be sent no later than September 18, 2026

Eligibility & Priority
This workshop is open to CCCHST Members in good standing only. Applications from non-members will not be considered.

Priority consideration will be given to applicants who:
• Hold an active profile in the CCCHST Data Management System (DMS), and
• Actively enter training numbers into the DMS on behalf of their organization.

Remaining seats will be filled on a first-come, first-served basis among all other eligible applicants.

Please do not book travel until you have received written notice of acceptance.

The following travel expenses are reimbursable for accepted participants, up to the caps listed below. Detailed reimbursement instructions and submission procedures will be provided upon acceptance.

Expense Category

Reimbursable Cap

Notes

Air / Travel / Mileage / Trip Insurance

Up to $825

Combined cap for all air and travel costs

Rental Car / Gas / Rideshare

Up to $300

Combined cap for ground transportation

Hotel / Lodging

$175/night + tax

Group rate, up to 3 nights

Per Diem — Workshop Days (Tue–Wed)

$68/day

Minus any meals provided at the workshop

Per Diem — Travel Days (Mon & Thu)

$51/day

Up to 4 days per diem total

Applicant Information

Please complete all fields. Any information not provided will invalidate the application.
Full Name*
Address*

Teaching & Reporting

Do you currently have a profile in the NPETE Reporting DMS?*
Do you currently enter your training courses in the NPETE DMS, or have courses entered by your organization on your behalf?*
Are you currently teaching/training?*
Reporting Requirement: Active members are required to report training delivered in their communities. This is done by logging training into the NPETE Data Management System (DMS) — including number of students trained, hours of instruction, and course types. NPETE reports this data directly to NIEHS as part of HWWTP program compliance.

Current AI Experience (Learner Self-Assessment)

Your honest self-assessment below helps us pitch Day 1 at the right level.
Overall AI Fluency — select the statement that best describes you today:*
Which AI tools have you used? (check all that apply)*
What is your biggest barrier to using AI more consistently at work?*

Your Three Problems — The Raw Material for Everything You Build

Before the workshop, each participant submits one problem in each of the three categories below. These become the raw material for everything you build over two and a half days. Be specific — the more concrete the problem, the better your solution will be.
Approximate hours/minutes per occurrence: __ How often does it come up? (e.g., daily, weekly, monthly): __

Operational Work

Recurring administrative tasks, reports, communications, data work or documentation.
Approximate hours/minutes per occurrence: __ How often does it come up? (e.g., daily, weekly, monthly): __

A Tool or Automation to Build

Something repetitive or rule-based that could run with less manual effort – a prompt, workflow, template, or small tool.
Approximate hours/minutes per occurrence: __ How often does it come up? (e.g., daily, weekly, monthly): __

Tech Readiness Checklist

Day 2 involves building with AI tools. Please confirm you will arrive ready:
Laptop*
Paid Subscription*
Claude Pro includes Claude Code. ChatGPT Plus includes Codex. Free plans do not include the build tools.
Installation*
Claude users: install Claude Code through the Claude Desktop app (no coding experience required). ChatGPT users: install Codex. Setup instructions will be sent ahead of time.
Preferred build tool:*

Acknowledgment & Submission

I confirm the following is true:*
I am a CCCHST Member in good standing.
● The information I have provided is accurate.
● I understand that participation requires my own paid Claude or ChatGPT subscription and a laptop.
● I agree to participate in brief follow-up surveys after the workshop and again approximately 30 and 60 days after the workshop.
● I understand that capacity is limited to 35 participants and that submission of this application does not guarantee a seat.
Digital Signature*
Typing my name constitutes my electronic signature.

CCCHST Member Quick Links

Report Training Hours CCCHST & Disaster DOE
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Moodle LMS Online HAZWOPER Login
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