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SDSU Extension
Master Gardener Application
Application form to take training for $160 with 50 hr. volunteer time payback requirement within
two years.
Please fill out this application completely. Please type or print. Send completed form and $50 refundable
deposit to:
David Graper
Box 2140C, SNP 254A
Brookings, SD 57007
Make checks payable to "”SDSU Extension". The remaining fee of $110 will be due by April 20, 2015.
All checks will be held until April 24 when registration closes.
1) Name:
Address:
City:
Zip Code:
Telephone:
County:
Cell Phone:
Email Address:
indicate
(required) – If you do not have an email please
2) Please indicate the hands on training site you will be attending:
3) Which county(s) do you want to do your volunteer work in?
4) Years of gardening experience in this area:
5) Where did you garden before living here?
6) Do you have any formal training in Horticulture or Agriculture? (Yes or No)
Please explain
7) Please list areas of specialization or hobbies (i.e. roses, vegetables, ornamentals, perennials, houseplants,
greenhouse etc.)
8) How did you learn about the Master Gardener Program?
South Dakota State University, South Dakota counties, and U.S. Department of Agriculture cooperating. South Dakota State University is
an Affirmative Action/Equal Opportunity Employer and offers all benefits, services, education, and employment opportunities without
regard for race, color, creed, religion, national origin, ancestry, citizenship, age, gender, sexual orientation, disability, or Vietnam Era
veteran status.
© 2015 South Dakota Board of Regents, South Dakota State University
Page 1 P6034-2015_hours
SDSU Extension
Master Gardener Application
9) Please describe any volunteer work you may have done in the past.
10) Why do you wish to become a Master Gardener? (Attach separate page if necessary)
11) Suggest how you might use your training to help people, if you are selected for the Master Gardener
Program.
12) Please describe any communication skills you may have (i.e. enjoy writing, giving speeches, small group
talks, telephone, typing, word processing etc.
13) Are you a full time employee?
(YES or NO). If you are, please explain how you feel you will be
able to fulfill the payback time commitment of 50 hours over the next two years.
14) If selected for the SDSU Extension Master Gardener Program, I understand that I am obligated to attend
all classes and devote a minimum of 50 hours of apprentice service back to the program, county or state over
the next two years upon completion of the training. If unforeseen circumstances prevent me from completing
my 50 hours of apprentice service, I will make other arrangements with SDSU Extension to fulfill that
commitment.
Signature
Date
Return this completed application to:
David Graper
Box 2140C, SNP 254A
Brookings, SD 57007
Deadline for registration with $50 deposit is April 10. Enrollment is limited and no registrations
will be accepted after April 10.
Note: All applications are subject to review by the Horticulture Specialists and/or a local Master Gardener
committee.
South Dakota State University, South Dakota counties, and U.S. Department of Agriculture cooperating. South Dakota State University is
an Affirmative Action/Equal Opportunity Employer and offers all benefits, services, education, and employment opportunities without
regard for race, color, creed, religion, national origin, ancestry, citizenship, age, gender, sexual orientation, disability, or Vietnam Era
veteran status.
© 2015 South Dakota Board of Regents, South Dakota State University
Page 2 P6034-2015_hours