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Community Garden Mentor Application 2017
Para leer esta información en español, por favor visite: http://tinyurl.com/FCGMentorApp2017Espanol.
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THANK YOU for your interest in the Community Garden Mentor Program! Before completing this application, please review the information at: www.tinyurl.com/FCGMentorProgram to decide if the program is a good fit.

The 2017 training will take place on February 18 and 25, from 9:30 am – 4:00 pm at the Forsyth County Agricultural Building, 1450 Fairchild Rd., Winston-Salem NC 27105.

Please apply by Friday, February 3, 2017 using this form (http://tinyurl.com/FCGMentorApp2017). A Spanish-language application form can be found at: http://tinyurl.com/FCGMentorApp2017Espanol.

Name
Your answer
Address (Number & Street)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Email
Your answer
Phone (Home)
Your answer
Phone (Work)
Your answer
Phone (Cell)
Your answer
How do you prefer to be contacted?
Required
Are you able to attend BOTH sessions (9:30 am – 4:00 pm on February 18 AND 25)?
Do you need Spanish translation? (Please request Spanish translation by Monday, January 23.)
Please indicate any dietary restrictions you have (check all that apply):
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
Please indicate if you would like to mentor a specific garden upon completion of the program, and/or if you are open to being paired with any garden requesting assistance.
Required
If you would like to mentor a specific garden, please list the garden here.
Your answer
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
Why do you wish to become a Community Garden Mentor?
Your answer
Please describe your community organizing experience, interests, and skills. List organizing topics and skills you would be comfortable teaching to others.
Your answer
Please describe your gardening experience, interests, and skills. List gardening topics and skills you would be comfortable teaching to others.
Your answer
What additional knowledge and skills would you like to develop in order to be a successful Community Garden Mentor?
Your answer
Please confirm the following to complete your application: “I would like to become a Community Garden Mentor 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 2017 growing season (barring an unexpected personal or family emergency).”
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