Rutgers Environmental Steward Application for Middlesex County Location
TIME: 6:30- 9:30pm

DATES: Wednesday evenings starting January 25- June 7, 2017

LOCATION: Rutgers Cooperative Extension of Middlesex County, Davidson Mill Pond Park, 42 Riva Ave., North Brunswick, NJ 08902 (please note we are geographically located in South Brunswick).

Fee: $250.00.

Checks or cash accepted. Please make checks out to "Rutgers, The State University of NJ".
Send payments to Michele Bakacs, Rutgers Cooperative Extension of Middlesex County, 42 Riva Ave., North Brunswick, NJ 08902. Please indicate the name of the person you are registering when you send your payment.

For more information call Michele Bakacs at (732) 398-5274 or email at bakacs@njaes.rutgers.edu.

I wish to become a participant in the Rutgers Cooperative Extension (RCE) Environmental Steward training program and would like to be accepted for the next class. I understand that class schedules may vary, and that there is a fee set to cover local course and administrative expenses.
Required
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City, State, Zip
Your answer
County
Your answer
Email address
Your answer
Phone (H):
Your answer
Phone (W):
Your answer
Emergency number for reaching you in case of inclement weather.
Your answer
Please complete the following:
1. Please check up to three areas of interest which you might like to work in and indicate relative priority:
Priority 1
Priority 2
Priority 3
Land Use Change (Incl. habitat loss, congestion, sprawl)
Water Resource Management (including water pollution, stormwater runoff, water conservation)
Invasive Species
Solid Waste/Recycling
Energy Use/Efficiency
Climate Change
2. Please describe your level of expertise in environmental issues:
3. Please briefly explain why you want to become an RCE Environmental Steward volunteer?
Your answer
4. Do you belong to an environmental group? If so, which one (s)?
Your answer
5. Please list past volunteer work experiences, community or civic activities and positions held.
Your answer
6. Please list your occupation and any skills (writing, computers, graphics, art or photography, etc.) that might be relevant to your volunteer activities:
Your answer
7. Do you anticipate any circumstances that would keep you from attending class, fulfilling the minimum volunteer commitments or participating in other volunteer activities? If so, please describe here:
Your answer
8. Please tell us how you heard about the program (i.e. a friend, newspaper article, Facebook, etc.)
Your answer
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