Master Gardener Application Form - Cooperative Extension in Kennebec County - University of Maine Cooperative Extension

By checking the boxes below, you are agreeing to complete the Master Gardener requirements.

I wish to become a University of Maine Cooperative Extension Master Gardener Volunteer. I understand that I must attend at least 80% of the sessions, and complete a minimum of 40 hours approved volunteer work, within one year of completing the course, to become certified as a Master Gardener Volunteer. Participants not willing/able to complete 40 hours of volunteer service within a 12-month period following training should not apply for the Master Gardener Volunteers Program.

If I am accepted as a Master Gardener Volunteers trainee, I will abide by all regulations and recommendations of the University of Maine Cooperative Extension. I understand that as a Master Gardener Volunteer, I am considered a volunteer representative of the University of Maine. I commit to conducting myself in accordance with the established University of Maine Cooperative Extension volunteer standards of behavior. I consent to a background check* at the expense of the University of Maine, prior to beginning volunteering as a Master Gardener Volunteer.

*Background checks are required of applicants wishing to volunteer as Master Gardeners working with the public.

Name*

First Last

Address*

Street Address City State ZIP Code

Phone (###) ### - ####*

Email*

1. Have you ever participated in a Master Gardener Volunteer Program in Maine or another state?

Yes
No

If yes, indicate where and what year(s).

2. Have you ever applied for the Master Gardener Volunteers training in Maine prior to this year?

Yes
No

3. On a scale of 1-10, where 1 is beginner and 10 is expert, how would you rate your current gardening knowledge and ability?

Please enter a number from 1 to 10.

Please explain your answer

4. Why do you wish to become a Master Gardener Volunteer? (Really think about this question and respond accordingly.)

5. In what ways do you plan to apply the knowledge and skills gained from this Master Gardener Volunteers training?

6. What type(s) of volunteer work have you done? Briefly describe your history as a volunteer. Consider areas such as school, Red Cross, youth sports, scouting, 4-H, public committees, non-profit work, church, or service groups.

Volunteer Type	Frequency	Estimated Dates

Examples: Nursing Home Volunteer, 2 hours per week, Jan. 2000 - present (Click the plus sign on the right to add more rows and examples.)

7. Please list two areas you would like to be proficient in as a result of your Master Gardener Volunteers training.

8. During the gardening season, at which times are you available to volunteer? (Check all that apply)

Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings

Additional comments:

9. Do you currently volunteer or have you ever volunteered for other UMaine Extension programs?

Yes
No

If yes, please list which programs (examples: 4-H, Executive Committee, gleaners, etc.)

10. Are you a referred member of a Garden Club and have been offered a partial tuition refund after completing training and volunteer work?

Yes
No

Additional comments or questions:

Check here to request information about financial assistance. This request will not influence the application process.

Before submitting your responses, consider printing a copy of this form for your own records.

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