Community Garden Mentor Registration 2018
Para leer esta información en español, por favor visite: http://tinyurl.com/FCGMentorReg2018Espanol.
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THANK YOU for your interest in the Community Garden Mentor Program! Please review the information at: www.tinyurl.com/FCGMentorProgram to decide if the program is a good fit.

The 2018 training will take place on March 3 & 10, from 9:30 am – 4:00 pm at the Forsyth County Agricultural Building, 1450 Fairchild Rd., Winston-Salem NC 27105. The training will be offered in English and Spanish. Child care is available, but you MUST contact Megan (gregormm@forsyth.cc or 336-705-8823) and fill out the required forms by Friday, February 23.

Please apply by Friday, February 16 using this form (http://tinyurl.com/FCGMentorReg2018). A Spanish-language application form can be found at: http://tinyurl.com/FCGMentorReg2018Espanol.

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 BOTH sessions (9:30 am – 4:00 pm on March 3 & 10)? *
7. Do you need Spanish interpretation?
8. Please indicate any dietary restrictions you have (check all that apply):
9. Do you need child care?
If so, please contact Megan and complete the required forms by Friday, February 23.
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 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
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 Community Garden Mentor? *
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 Community Garden Mentor? *
Your answer
17. 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 2018 growing season (barring an unexpected personal or family emergency).” *
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