Maryland Woodland Stewards 2014 Forest Stewardship Volunteer Application Apply online at bit.ly/MDWS2014 The Maryland Woodland Stewards Program is looking for a diverse group of Maryland residents that embrace a forest stewardship ethic, want to learn more about sound forest management, and are willing to share what they learn with private forest landowners. A limited number of participants will be accepted into the program. If you are interested please complete the following application. If you do not wish to participate this year, but may be interested next year, please indicate so by checking the box below and completing the contact information section before returning the form to our office. Or you can indicate so in an e-mail to jkays@umd.edu. ___ I do not wish to participate this year, contact me next year. (Please fill in name and address below). ___I do not wish to participate in the future. Please remove me from the Maryland Woodland Stewards application list. Name: Have you applied previously? __Yes __No First name or nickname you prefer: Street or P.O. Box: City: Home Phone: ( State: ) Work Phone: ( Zip: ) County: Cell Phone: ( ) E-mail: Occupation: Briefly, why do you think you would be a good candidate for the Maryland Woodland Stewards Program Training? _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ ________________________________________________________________________________________________ 1. Are you willing and able to give 40 hours of service in the coming year to help promote Forest Stewardship in Maryland? Yes ______ No ______ 2. Please enter the number of wooded acres that applies to you for each option. Owned in Maryland ________ acres Managed (but not owned) in Maryland ________ acres (owned by ___________________________________) Owned/managed outside of Maryland ________ acres Total ________ acres 3. Do you live on the property? Yes _____ No _____ How many miles away is it? ___ In what county? _______________ 4. How long have you lived in Maryland? _________ Years 5. How long have you lived in your current community? _________ Years 6. Is any of the wooded property you own or manage under a written Forest Stewardship Plan? Yes _______ No ________ a. Have you implemented the plan? Yes _______ No ________ 7. Is any of the wooded property you own or manage part of the MD Forest Stewardship program? Yes _______ No ________ 8. Is any of the wooded property you own or manage part of the American Tree Farm System? Yes _______ No ________ 9. What are your primary management objectives for the woodlands? Please list in order of importance. Examples would be wildlife habitat improvement; income production from timber; recreational enjoyment, other? 1. ____________________________________ 3.____________________________________ 2. ____________________________________ 4. ____________________________________ 10. Please list any forest and wildlife management activities you have carried out on your wooded property in the past three years? Examples would be timber stand improvement, tree planting, woods road construction and maintenance, releasing crop trees, wildlife plantings, etc. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 11. What area(s) of forestry, wildlife, or natural resources especially interest you? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 12. Have you consulted with any of the following professionals in last three years about forest or wildlife stewardship? (circle the appropriate letters) a. State/County Forester (Maryland Forest Service) b. Agricultural Extension Agent (University of Maryland Extension) c. Natural Resources Extension Agent (University of Maryland Extension) d. Wildlife Biologist (DNR Wildlife) e. Private Consulting Forester f. Industrial/Mill Forester g. Soil Conservation District (SCD) h. Farm Services Agency (FSA) i. Others (please list) ________________________________________________________________ 2 13. Please list your current or past community and organizational involvement. (Include, for example, association memberships or offices, community boards or committees, other volunteer activities, etc.) Organization/Activity Role Former or Current 14. What formal or informal natural resource training have you had? (Credit and non-credit courses, workshops, or extension programs.) 15. How much knowledge do you have in each of the following topics? (1 = None, 5 = Expert) 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 4 4 5 5 5 5 5 Common wildflower and herbaceous species Common bird species MD forest natural history Common tree species Wildlife species and habitat 16. How often do you participate in each of the following activities? (1 = Never, 4 = Often) 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 Firewood cutting Timber harvest Forest inventory Habitat improvement 17. What types of volunteer activities are you most interested in? (1 =Not interested; 5 = Very interested) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 Speaking to or teaching small groups (15 or less) Speaking to or teaching large groups (more than 15) Speaking or teaching one on one Speaking to or teaching youth Speaking to or teaching adults Leading groups in the field Coordinating workshops Staffing educational displays at fairs, events, etc. Answering telephone questions Photographing forest activities Writing articles for newsletters and newspapers Writing special interest leaflets Developing displays Serving on a board or committee Contacting legislators or local officials about relevant topics 3 18. How much access do you feel you have to the following groups? (1 = No access, 5 = A lot of access) 1 2 3 4 5 1 2 3 4 5 Local media outlets (e.g., newspapers, radio stations, TV stations, etc.) Local community groups 19. What is the major form of recreation you enjoy on your woodlot? _____________________________________________________________________________________ 20. Do you restrict access to your property in any way? ____Yes _____No If yes, why?__________________________________________________________________ 23. Anything else you would like to share? REQUIRED BY UNIVERSITY OF MARYLAND POLICY Have you ever been convicted of a felony or a misdemeanor of which a sentence of more than one year may have been imposed? Yes ______ No _______ If yes, please give nature of offense and disposition _____________________________________ Please list two references (suggestions: neighbor, state forester, Extension educator, Maryland Woodland Steward, etc.) Name _____________________________ Name _________________________________ Address_______________________________ Address________________________________ City __________________St____ Zip _______ City __________________St____ Zip _______ Phone (_____)__________________________ Phone (_____)__________________________ E-mail:_________________________________ E-mail:_________________________________ I authorize University of Maryland Extension to contact the listed references. __________________________________________ Signature ____________________ Date PRIVACY STATEMENT: The University of Maryland Cooperative Extension is gathering this information to assist in the design of a training program to meet the needs of the applicant. It is needed in order to be considered for participation in the Maryland Woodland Stewards Program training. If you are selected to participate in the program, the information you provide may be shared among offices within the University of Maryland and the University System of Maryland and outside entities as necessary or appropriate in the conduct of legitimate University business and consistent with applicable law. Because the University is a State educational institution, such information may also be subject to disclosure under the Maryland Access to Public Records Act. Individuals may inspect and/or correct their personal information as provided by the “Public Records Act” and/or other applicable law or University policy. Applications are accepted on a rolling basis. Please return as soon as complete to: Jonathan Kays University of Maryland Extension - WMREC 18330 Keedysville Rd. Keedysville, MD 21756 4