Registrations | Illinois Extension

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Street Address 2

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Registration Select the registration option that best fits your goals.

Official Extension Master Naturalist Volunteer ($250.00)

Naturalist Core Education Only ($250.00)

Still Deciding Between Volunteer and Education Only ($250.00)

Current Master Gardeners - Advanced Certification in Ecology ($125.00)

Please provide dates and times you would be able to meet with Christine Belless and Nicole Flowers-Kimmerle for an interview prior to attending training. Monday thru Friday between the hours of 9 AM and 3 PM. The meetings should take approximately one hour. Special arrangements can be made if other times are needed.

Why do you want to take the Naturalist Core Education Training?

Have you had any previous affiliations with the University of Illinois and/or Extension?

Yes

Have you been in another Master Naturalist program? If yes, where and when?

Have you ever been convicted of a criminal offense? Yes or No (If yes, please explain.) A conviction will not necessarily disqualify an applicant. A conviction will be considered as it relates to the specifics of the position for which you have applied.

I authorize the University of Illinois to contact Sterling Volunteers for a criminal conviction investigation, the Illinois Department of Children and Family Services to conduct a search of the Child Abuse and Neglect Tracking System and other sources as necessary. I understand that I must be officially accepted before beginning my volunteer position. I understand that misrepresentation or omission of facts requested in this application is cause for rejection as an Extension volunteer. I agree to fulfill the responsibilities of this volunteer position to the best of my ability if appointed. I understand that failure to comply with the rules may lead to dismissal from this position. Type name as signature & date

Photo Release I, the undersigned, do hereby consent to the use by The Board of Trustees of the University of Illinois (University) of my image, voice, or both described below, in (1) the video, photograph, or audio recording described below; and (2) any video, photograph, or audio recording reproduced either in whole or in part from the video, photograph or audio recording described below: regardless of whether these materials are used for fundraising, advertising, publicity, or any other purpose on behalf of either the University or its Foundation. I warrant that I have the full right and authority to grant this consent. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both, by either the University or the Foundation. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned, or that I am the parent or legal guardian authorized to sign on behalf of a person under age 18. I further attest that I have read this consent form and fully understand its contents.

Yes

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Refund Policy

A full refund will be issued to participants who withdraw from the training by May 20. A partial refund will be given after May 20, 2024.

Total Registration Cost

Naturalist Core Education Training June 10-14, 2024

Contact Information

Civil Rights Compliance - Participant Info