University of Maryland Extension Master Gardener Application Baltimore County 2016

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University of Maryland Extension
Master Gardener Application
Baltimore County 2016
Mail Form to: Anna Glenn
Master Gardener Coordinator
UME Baltimore County Extension Office
1114 Shawan Road
Cockeysville, MD 21030
Date
/
*If accepted, you will need to commit to attend the Master Gardener
Training classes which will start on August 26th and run 10 weeks
(non-consecutively) until Nov 18th. Classes are from 8:45am.to
3:00pm on Fridays. Class registration fee is 275$ per person
Class size is limited to 30 participants*
/
Phone (Home)
Name
(Work)
Address
(Mobile)
Best time to call
County of Residence
E-mail
Emergency Contact
Volunteer experience (List most recent experience first.)
Organization
Volunteer Duties
From
month/year
To
month/year
From
month/year
To
month/year
Employment experience (List most recent experience first.)
Employer
Position and Responsibilities
Current employment status: Retired
Full time
Volunteer availability: (Circle all applicable)
Number of Days per week: 1 2 3 4 5 6 7
Preference: Monday
Tuesday
Wednesday
Thursday
Part time
Friday
Saturday
Other (please explain)
Sunday
No Preference
How did you hear about the Master Gardener program?
Advertisements at Baltimore County Public Libraries
Advertisements at Baltimore County Public Schools
Advertisements in local newspaper
Ask A Master Gardener Booth at a Farmers Market or Fair
Baltimore County Extension Website
Community Fair/Event
Demonstration Garden at Baltimore County Center for MD Agriculture
Facebook
Friend that is a Master Gardener
Maryland Agricultural Resource Council event/calendar
Spring Lecture Series offered by the Baltimore County Master Gardeners
Other: _________________________________
The mission of the Maryland Master Gardeners is “to support the University of Maryland Extension mission by
educating residents about safe, effective and sustainable horticultural practices that build healthy gardens, landscapes,
and communities.” How do you see yourself contributing to the mission of education?
Develop/support community gardens
Training & Development
Maintain Demonstration Gardens
Work with Adults with Disabilities
Organize & schedule programs
Work with Children
Plant Clinics at Farmer Market
Work with Seniors
Serve on Leadership
Write Educational Articles
Speak to garden clubs
Other _______________________
My top 3 reasons for wanting to join the Baltimore County Master Gardeners are to (check all that apply):
Educate others in my community
Promote safe, effective, sustainable practices
Expand my knowledge of gardening
Satisfy a career development need
Have access to UMD training and professors
Socialize with people with similar interests
Make a difference in my community
Other: ____________
Play in the dirt
What other special skills can you bring to the organization?
Advertising/Communications
Construction
Creative art skills
Data Entry and Organization
Event Planning
Finance
Fluency in another language_______________
Fundraising
Graphic Design
Horticultural Therapy
Landscape Design
Leadership
Photography
Public Speaking
Writing
Other:_____________________________
Please mark the areas of horticulture in which you have expertise (aka. you already feel comfortable teaching
others about these topics). Check all that apply.
Plant Propagation
Herbs
Aquatic Gardening
Pollinators
Horticultural Therapy
Bay-wise Gardening
Pruning
Houseplants
Botany
Soils/compost
Invasives
Ecology
Turf grass
IPM
Entomology
Vegetable production
Landscape design
Floral Arrangements
Native Plants
Fruit production
Water Quality and
Conservation
Organic Gardening
Greenhouses
Weeds
Plant Pathology
Herbaceous plants
Wildlife Gardening
Woody plants
Class attendance is important. Classes run from 8:45-3 (with a 45 minute lunch break) on Fridays for 10 weeks in
the fall. Please check any dates that you know you will NOT be able to attend training classes.
Aug 26th
October 7th
September 2nd
October 14th
th
September 9
October 21st
th
September 16
November 11th
Sept 30th
November 18th
Why do you think that you would make a good Master Gardener? What skills/character traits/passions will serve
you well in this role? Please describe, this is your chance to sell yourself!
Is there anything else that you would like us to know about you? Please write any additional comments below.
Have you ever been convicted of, pled nolo contender to, or received a deferred or suspended sentence for a crime more
serious than a parking offense in this or any other state, territory, or country? ______ No _____ Yes
If yes, give date, nature of offense, and disposition:
(A criminal record will not necessarily prevent an applicant from being a Master Gardener Volunteer. A criminal record
will be considered as it relates to the specifics of the volunteer position for which you are applying.)
Follow-up Interviews
If you are selected for a follow-up interview, you can expect to be called within the first two weeks of July.
References
LIST 3 people not directly related to you who have definite knowledge of your character and skills.
We are most interested in speaking with people who have known you in a work-related or volunteer role.
*Notify your references that they will be contacted by Baltimore County Master Gardeners.
Name
Phone
Email
How would they prefer to be contacted? ___phone ____email ____ either is fine
Name
Phone
Email
How would they prefer to be contacted? ___phone ____email ____ either is fine
Name
Phone
Email
How would they prefer to be contacted? ___phone ____email ____ either is fine
I authorize the University of Maryland Extension to contact the listed references and to verify the information provided. I
understand that misrepresention or omission of facts is cause for nonappointment as a volunteer. If appointed as a volunteer, I
agree to abide by the philosophies of the University of Maryland Extension and to fulfill the volunteer responsibilities to the
best of my ability.
Signature
Date
The University of Maryland Extension programs are open to any person and will not discriminate against anyone
because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, national origin,
marital status, genetic information, political affiliation, and gender identity or expression. Date received:________
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