Professional Documents
Culture Documents
DEMOGRAPHIC INFORMATION
NAME First Last
EXACTLY AS IT WILL APPEAR ON NAME TAG
City/State
Zip
If you live outside of Bernalillo County, please have your local County Agent sign this form. County Agent's Signature
Your name and contact information (including e-mail address) will be added to an official mailing list, which may only be used for communicating with you about official Albuquerque Area Extension Master Gardener business. Certificate-only and Training-only applicants will be listed on the Intern Roster only, not on the official mailing list. SPECIAL NEEDS? Please contact Cheryl Kent, 243-1386, after you have been notified of your acceptance.
PLEASE NOTE......All students will receive a hardcopy manual, but there will be additional class information and lecture outlines which will be available ONLY ONLINE. In addition, the Master Gardener website is an extremely important communication and information resource. Check it out at www.abqmastergardeners.org
1. Are you over 18? _________ 2. Have you ever participated in a Master Gardener Program? _____ If yes, where and when? 3. How did you find out about the Master Gardener Program?
4. Why do you want to become a Master Gardener? If you are not interested in volunteering 40 hours annually and becoming a MG, why do you want to take this course?
PART IIA:
1.
REQUIREMENTS OF PROGRAM
2. Are you currently employed? _______ Is it part-time or full-time? _______ If employed, can you adjust your schedule to attend classes and meet your volunteer requirements? _____ Please explain how: 3. Do you have any travel planned that will cause you to miss classes?____ If so, when?
make up 4 individual classes by viewing videotapes made during the classes.)
PART IIB:
4. Will you be able to do 40 hours of volunteer work during the calendar year? _____ and 20 of those 40 hours at the Hotline locations: Garden Center at 10120 Lomas NE and County Extension Office at 1510 Menaul NW (weekdays 9:30 to 2:30)? ______ 5. To what extent are you available to volunteer during the work day versus on weekends? 6. How many years do you anticipate being a Master Gardener?
PART III:
GARDENING EXPERIENCE
2. What are your areas of particular interest, e.g. vegetable gardening, roses, xeric plants, perennials, daylilies, container gardening, cacti, trees, etc.? (This information will be used in assigning you a mentor and developing optional curriculum.) Please note if youre an expert in any of these.
3. How long have you gardened? _______________ In Albuquerque? __________ Where else have you gardened? ____________________________________________________ 4. List any garden club, plant society, or other horticulture organization(s) to which you belong(ed).
PART IV: EDUCATIONAL, WORK AND VOLUNTEER EXPERIENCE (MG APPLICANTS ONLY)
1. Describe any courses relating to gardening or horticulture that you have taken that might be helpful to you as a Master Gardener:
2. Describe work experiences that might be useful to you as a Master Gardener: Gardening or horticulture related work experience:
3. Briefly describe what type of volunteer work you have done in the past (organization and type of work you did):
PART VI: OPTIONS FOR PARTICIPATION IN THE PROGRAM SELECT ONE OPTION ONLY A. EXTENSION MASTER GARDENER APPLICANTS ONLY
I wish to become an Extension Master Gardener. I have read this application, and accompanying materials, and understand the purpose and function of the Extension Master Gardener program. I agree to abide by all policies and understand that the Albuquerque Area Extension Master Gardener Board, working in conjunction with the Bernalillo County Extension Service Advisor, may remove any individual from the program for not adhering to the policies or for intentionally and maliciously acting in a manner to harm the Extension Master Gardener Program and NMSU. I know that I am expected to attend all training classes and must pass all examinations before being allowed to work individually as an Extension Master Gardener volunteer. I agree to donate a minimum of 40 hours of recognized volunteer service, not working in a paid capacity, 20 of which must be served on the Albuquerque Area Extension Master Gardener Hotline. I will be assigned a Mentor before the first day of class. I understand that I will receive a $50 refund at the successful completion of the program; $40 in cash and $10 to be applied for dues in 2012. MAKE $150.00 CHECK PAYABLE TO: AAEMG and return this form to the address listed on the front page. Signature_______________________________________________ Date___________________
If you are selected to participate in the Albuquerque Area Extension Master Gardener Program, are there any of these policies with which you cannot comply?_______ Please explain:
AND
TRAINING CERTIFICATE
Please Read and Initial, then sign and date at the bottom
ALBUQUERQUE AREA EXTENSION MASTER GARDENER POLICIES (Please read and Initial Each)
____To be a Training Certificate graduate, course participants must attend the prescribed hours of training. In addition, all TC Candidates must
pass all examinations and a score of 70% will be considered passing. Retesting is allowed if lower scores are received, but all tests must be completed by May 1. _____Students who drop the program before the 1st class will receive full refund, before the 2nd class refund of tuition minus $25, before the 3rd class refund of tuition minus $50. No refunds after 3 rd class. The training manual must be returned or no refund will be issued.