McLEAN COUNTY MASTER GARDENER EDUCATION HOURS REQUEST (Submit only for activities currently unauthorized.) DATE APPROVED _________________ Request Date: ___________________________________________________________ Requested by: ___________________________________________________________ Event or Class: ___________________________________________________________ Date of Event or Class: ___________________________________________________________ Location: ___________________________________________________________ Description of Event or Class: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ How is this event considered educational and/or beneficial for Master Gardeners? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Number of Education Hours Requested: ___________________________________________ Please submit your completed request form to the Member Development Committee Chair Before the education credit is awarded, a short, informative article for the MG newsletter or a brief, informative report at a quarterly meeting or a second Thursday class will be required. Please attach a copy of this form and documentation of article or announcement of the presentation when you turn in hours report. 2/20/08