Approval numbers are valid for a 4-year period as long as the trainer/organization is operating within the regulations COMAR 13A.14.08 and abiding by ethical standards.  Renewal applications must be received 30 days prior to expiration date of approval number with all supporting documentation.  Supporting documentation includes 24 hours of training in the training of adults or the approved subject/domains.  Renewal will be granted if all quarterly training reports have been submitted and application is complete with the required number of continued training hours attached.