Habitat Steward 2013 Application Form

Address

Phone Number

- Area Code Phone Number
Place of Employment
E-mail Address
Why do you want to be a Habitat Steward?
How did you hear about this training?
List any like-minded organizations you currently belong to:
What is your background related to gardening, the outdoors, and/or natural resources?
Habitat Stewards are required to complete 30 hours of volunteer work the year after completing training - volunteer work may include education/outreach, gardening, invasive species removal, habitat restoration, and more - is this something you are willing and able to commit to?

Yes No
Click here to view the schedule
Look at the schedule by clicking the link above, are you able to attend all classes? *

Yes No
If you answered "no" to the above question , please explain here:
T-Shirt Size
Do you have any special health conditions we should know about?
Known Allergies?
Emergency Contact Name
Emergency Contact #

- Area Code Phone Number
Questions or comments?
Should be Empty: