application form

Extension Master Gardener Training Application

Application form to take training for $450 fee, with no volunteer time payback requirement. Note that without the 50 hrs. volunteer service, the individual does not receive volunteer "Master Gardener" status, including the MG name badge.

Please fill out this application completely. Please type or print. Send completed form and $50 deposit to your home county. (Make checks payable to "Horticulture Extension Operating") The remaining fee of $400 will be due on the first day of training.

1) Name: ____________________________________

Address: ______________________________________

City: ________________________

Zip Code: _______________ County ____________________

Telephone: ____________________ Email ___________________________________________________

Company _________________________________

2) Please indicate your the training site you will be attending.

_____ Dakota Dunes _____Watertown _____Pierre _______Batesland ___________Brookings

3) Why do you wish to take the Master Gardener training course?

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4) Do you have any formal training in Horticulture or Agriculture? (Yes or No) ____________ Please explain _____________________________________________________________________________________

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5) Please list areas of specialization ( 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, if you are selected for the Master Gardener Program.______________________________________________________________________________

_____________________________________________________________________________________

8) Are you a full time employee? _______ (YES or NO). If YES, will your employer assist you in the cost of taking the Master Gardener Training? _______ (YES or NO). If YES, please explain how.

_____________________________________________________________________________________

Signature __________________________ Date ________________

Return this completed application to your local South Dakota County Extension office, as soon as possible, as enrollment is limited. Please contact your local office for exact deadlines. Note: All applications are subject to review by the County Extension Educator and/or another local Master Gardener committee.