Forsyth Community Gardening ~ Mentor Training 2019
Para leer esta información en español, por favor visite: https://tinyurl.com/FCGMentorReg2019Espanol.
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THANK YOU for your interest in the Mentor Training for Community Garden Leaders! Please review the information at: http://tinyurl.com/FCGMentorProgram to decide if the program is a good fit. The 2019 training will take place at N.C. Cooperative Extension (1450 Fairchild Rd., Winston-Salem NC 27105) in three parts:
• Saturday, February 16, 9:30 am-4:00 pm
• Tuesday, February 19, choose one session: 10:00 am-12:00 pm - or - 6:00-8:00 pm
• February 23 from 9:30 am-4:00 pm

The training can be offered in English and Spanish. To request Spanish interpretation, call 336-705-8823.

Please register by Friday, February 8, 2019 using this form (https://tinyurl.com/FCGMentorReg2019). A Spanish-language application form can be found at: https://tinyurl.com/FCGMentorReg2019Espanol.
1. Name *
Your answer
2. Address (Number & Street) *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
3. Email
Your answer
4. Phone (Home)
Your answer
Phone (Work)
Your answer
Phone (Cell)
Your answer
5. How do you prefer to be contacted? *
Required
6. Are you able to attend ALL sessions (February 16, 19, & 23)? *
7. Please indicate which session you will attend on Tuesday, February 19:
8. Do you need Spanish interpretation?
9. Please indicate any dietary restrictions you have.
Check all that apply.
10. Are you currently involved with a community garden? *
If you answered 'yes' to the previous question, please indicate which garden you participate in:
Your answer
11. Please indicate how you would like to volunteer upon completion of the program. *
Check all that apply.
Required
If you would like to mentor a specific garden, please list the garden here.
Your answer
If you would like to develop a program-wide role, please indicate any ideas here.
Your answer
12. How much time can you devote to mentoring a community garden? *
Please indicate: # of days per week you could visit a garden, # of hours per visit, and the days/times you are available.
Your answer
13. Why do you wish to become a Mentor with Forsyth Community Gardening? *
Your answer
14. Please describe your community organizing experience, interests, and skills. List organizing topics and skills you would be comfortable teaching to others. *
Your answer
15. Please describe your gardening experience, interests, and skills. List gardening topics and skills you would be comfortable teaching to others. *
Your answer
16. What additional knowledge and skills would you like to develop in order to be a successful Mentor to a community garden? *
Your answer
17. Please confirm the following to complete your application: “I would like to become a Mentor with Forsyth Community Gardening and be accepted into the training program. If accepted, I commit to attending the required training and serving as a Community Garden Mentor for, at minimum, the 2018 growing season (barring an unexpected personal or family emergency).” *
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