2024 NEWMGA Enrollment Form

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OUR MISSION
Provide horticultural support and leadership to individuals, local organizations and community programs through volunteerism, education and environmental stewardship.

OUR VALUE:

To inspire the public of all ages, successfully grow plants, combat invasive species, enhance biodiversity and promote food security.

Thank you for joining!

Note: Required sections to complete are indicated with a red asterisk.

Email *

Last Name *

First Name *

Mailing Address: Street, City, Zip Code *

Phone Number: ###-###-#### *

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

Yes

Fill in the circle for the level of membership for which you are 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, 2023.

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, 2023.

Honored by State Requirements - no fee with proper documentation.

What year were you certified by the University of Wisconsin?
*

Enrollment includes the completion of the Brown County Volunteer Form. Check the box accordingly if you have completed this form in 2022 or 2023.
*

Yes

A copy of your responses will be emailed to the address you provided.

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