Application

This is just a sample. Please use the PDF link above to print, fill out and apply.

PRINT CLEARLY; ENSURE THAT YOUR EMAIL ADDRESS IS CORRECT.

Name __________________________________________________________________________

Road or PO Box ____________________Town __________________________________

State _______ ZIP ___________________Email __________________________________

Phone (H) __________________ (W) ____________________ (Cell) _________________

___Can you attend all the classes and field trips listed in the syllabus?

___Can you commit to 40 hours of community volunteer service during the year following the course?

___Are you over 18 years old? (In special circumstances, individuals who are 16 or 17 may be accepted.)

What is your profession or life’s work?

___________________________________________________________________________

Are you currently volunteering at a nature center, land trust, or school? If so, where?

___________________________________________________________________________

If you volunteer in the community at this time or in the recent past, where do you volunteer and what do you do?

____________________________________________________________________________

Do you have experience working with a conservation organization? In what capacity?

____________________________________________________________________________

If you have taught natural history or environmental education at either the volunteer or paid level (please specify which category), when and where?

____________________________________________________________________________

Where might you volunteer after the course? ________________________________________

Please specify if you would need reasonable accommodation for any of these activities, all of which are part of the course: using a hand lens and (perhaps) a microscope for identifying plants;

field identification of animals by sound and sight, with and without binoculars; walking along rocks to see tide pools and geologic features; snowshoeing tofollow animal tracks; wading in wetlands.

_____________________________________________________________________________

Please rate your knowledge or experience in each category on a scale of 1 - 5:

1 - Very little or no knowledge

2 - Some knowledge or experience

3 - Confident amateur knowledge or experience

4 - Could teach it to someone else

5 - Professional level

Maine flora

___Tree identification

___Tree identification in winter

___Identification of non-woody plants (herbs) and shrubs

___Familiarity with Newcomb’s Wildflower Guide

___Fern identification

___Lichen identification

Maine fauna

___Mammals

___Mammal tracks

___Bird identification

___Bird vocalizations

___Insects

___Reptiles

___Amphibians

Ecological systems

___Ecological principles

___Figuring out the human and natural history of the landscape by observation

___Effect of climate change on Maine’s ecology

___Wetlands