Client Interaction Form
Due to Covid-19, this form must be filled out each time a Cooperative Extension staff member comes in contact with a client. The client can fill out this form on their phone OR the staff member can use their own device to fill out the form for the client.
Extension staff member you had primary contact with:
Amy-Lynn Albertson (Director, Horticulture)
Laura Allen (4-H)
Toi Degree (Family & Consumer Education)
Michael Fine (Horticulture, Local Foods)
Melva Menius (Administrative Assistant)
Brooke Peeler (Administrative Assistant)
Morgan Watts (Forage & Livestock)
Murphy Stafford (intern)
Extension Master Gardeners
First & Last Name
Hispanic or Latino
American Indian/Alaska Native
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This form was created inside of North Carolina State University.