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Cooperative Extension

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Cumberland County Extension Association

New Member Application

First Name Last Name

Home Mailing Address

Town     State Zip

Home Phone    Cell phone


Employment (optional)

New members should attend the interview session, orientation, a board visit and the annual meeting, please let us know that you will be available:

August 14th - Interviews (check all timeslots that you have available, you will be notified of your time) 4pm 4:30pm 5pm 5:30pm 6pm 6:30pm

August 21st, 6pm - Orientation followed by CCEA Boardmeeting at 7pm

September 18th, 6pm CCEA Annual meeting

I will also be available to attend CCEA Board Meeting every third Wednesday of the month

Skills and or training that you feel will be of help to you in participating in an advisory board


              4-H & Youth                             Nutrition                           

               Agriculture                                  Small Business               

               Family                                         Public Relations

               Community Health                       Political Office                      

                Other         Other                     

                Other         Other 


Years Organization Position /Activity


              Finance/Accounting                     Volunteer Management                         

               Planning/Organizing                      Education              

               Needs Assessment                        Legislation/Government

               Publicity/Public Relations              Community Networking                   

                Other         Other                     

                Other         Other 

What excites you about becoming a member of the Cumberland County Extension Association?

Tell us about yourself: