2023 NEWMGA Enrollment Form

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Last Name *

First Name *

Email Address *

Mailing Address *

Phone Number *

A membership directory with names and emails will be shared with the membership. Do you wish to have your name omitted from this directory?

Yes

Fill in the circle for the level of membership are you enrolling:
*

Certified by State Requirements- $25 “You will report BOTH a minimum of 24 hours of volunteer service and a minimum of 10 hours of continuing education into ORS by December 31, 2022.”.

Active by State Requirements - $25 “You will report less than the minimum hours of volunteer service (24) or continuing education (10), and at least 1 hour of volunteer service and 1 hour of continuing education into the ORS by December 31, 2022.”

Honored by State Requirements - no fee “You completed 10 years or 1000 hours of service to the Extension Master Gardener Program in Wisconsin as recorded into the ORS and list significant accomplishments to the local or statewide program.” (Applications accepted November 1 - December 31, with decisions awarded before March 31.)

Enrollment includes the completion of the Brown County Volunteer Form. Check the box accordingly if you have completed this form in 2022.
*

Yes

Required

OPPORTUNITIES FOR VOLUNTEER HOURS

2023 COMMITTEE SURVEY

As listed in the bi-laws, there are four committees to help serve our association. Any NEWMG is invited to serve on a standing committee. If interested, check your committee of interest.

Communications

Community Outreach

Membership

Project

2023 COMMUNITY OUTREACH SURVEY

As a Master Gardener, I have the most expertise in the areas checked below and would be interested in sharing this knowledge.

Garden Basics

Seed Starting

Transplanting

Soil Amending

Native Plants

Seed Saving

Composting

Pest Management

Weed Control

Plant Propagation

Growing Vegetables

Lawn Care

Landscape Design

Other:

Thank you for completing this enrollment form. Please mail your $25 membership dues to: NEWMGA Treasurer, Nancy Fictum, 2528 Sage Dr., Green Bay, WI 54302

If you have comments or questions, please use the box below.

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