Maine Master Gardener Volunteers Application Form for
Penobscot County
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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.

The Master Gardener course manual is an online resource. It contains instructional videos that require a reliable Internet connection. Please contact your local Master Gardener Coordinator if you do not have reliable Internet access.

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 enrollment in the Master Gardener Volunteers Program.

*Background checks are required of applicants wishing to volunteer as Master Gardeners working with youth and where vulnerable populations are involved as determined by UMaine Extension.

Name:

Mailing Address:

City/Town:

State: Zip:

Phone:

E-mail:

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.

1. Have you ever participated in a Master Gardener Volunteers Program in Maine or another state? Yes  No

If yes, indicate where and in 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 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
Example: Nursing Home Volunteer	2 hrs per week	Jan. 2000 - present
1.	1.	1.
2.	2.	2.
3.	3.	3.

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

1.

2.

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

Weekdays	Weekends
Mornings	Mornings
Afternoons	Afternoons
Evenings	Evenings

Additional comments:

9. Do you currently volunteer or have you ever volunteered for other UMaine Extension programs? No  Yes

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

10. Additional comments or questions:

Submit  Clear