SDSU Extension Master Gardener Training Application Application form to take training for $500 fee, with no volunteer time payback requirement. 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 $450 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) Why do you wish to take the Master Gardener training course? 4) Do you have any formal training in Horticulture or Agriculture? (Yes or No) __________________ Please explain 5) Please list areas of specialization or hobbies ( i.e. roses, vegetables, ornamentals, perennials, houseplants, greenhouse etc.) 6) How did you learn about the Master Gardener Program? 7) Suggest how you might use your training to help people, if you are selected for 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_nohours SDSU Extension Master Gardener Training Application 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. Note: by choosing this option you will not become a Master Gardener, you may not call yourself a Master Gardener and you will not receive a badge or certificate upon completion. 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_nohours
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