New Hanover County Cooperative Extension -- Consumer Horticulture Programming Request Form
If your organization is interested in scheduling an educational presentation or event with the Consumer Horticulture program (including the Extension Master Gardener Volunteer program), please fill out this interest form! Our staff will assess these requests on a case-by-case basis and communicate with you about availability and scheduling. 

Strong proposals will outline a specific need for science communication in the community related to horticulture. Emphasis on Extension programs (i.e. Nature at Home or content from the Extension Gardener Handbook) is encouraged but not required. 
Sign in to Google to save your progress. Learn more
Contact Name *
Contact Email *
Contact Phone Number *
Organization *
Estimated Attendance *
Select the area(s) of focus best describing the program you envision.  *
Required
The primary audience for this program would be youths aged 18 or younger (minimum age 8). *
Briefly but specifically describe the envisioned program, with reference to topics of education and any training given. *
First Choice Date Preference *
MM
/
DD
/
YYYY
First Choice Date - Time Preference *
Time
:
Second Choice Date Preference *
MM
/
DD
/
YYYY
Second Choice Date - Time Preference *
Time
:
Third Choice Date Preference
MM
/
DD
/
YYYY
Third Choice Date - Time Preference
Time
:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University.

Does this form look suspicious? Report