Professional Mentor/Presenter Application
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Address Line 2
Your answer
City and State
*
Your answer
Zip Code
*
Your answer
Home/Cell Phone
*
Your answer
Work Phone
Your answer
Professional Status:
*
University Professor
State or Federal Biologist
Extension Personnel
Private Wildlife Biologist
Conservation/Outdoor Educator
Graduate Student
Other:
Please check one of the following to indicate how you will be able to help:
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Professional Mentor - Available for the entire week, or a great portion thereof, for instruction, camper guidance and supervision, etc.
Part-time Presenter - Visit for a day or two to give a presentation(s) on some topic(s) of wildlife conservation.
Area(s) of expertise:
*
Your answer
Day(s) available and Presentation(s) description:
*
Your answer
Note:
A partially completed application will not be saved. Please do not hit submit until you have checked that all sections of this application have been thoroughly completed.
Today's Date
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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