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Legacy Institute for the Environment

Contact Information

First Name: *

Last Name: *

Email: *

Address: *

City: *

State: *

Zip code: *

Phone Number: *

Mobile Number:

Background Information

What do you consider to be/have been your primary career(s)?: *

Are you currently employed?: *

No

Yes

Hours per week:

Have you volunteered with any environmental/nature organizations? If yes, please describe.:

Interests and Experiences

What do you hope to give/gain through participating in the Legacy Institute for the Environment (LIFE)?

Give: *

Gain: *

Legacy Leaders will have a variety of opportunities to use current skills or build new ones. Which skills do you currently have? What are you interested in doing, whether or not you currently have the skills?

Skills:

Research

Wildlife Survey/Monitor

Botany/Horticulture/Gardening

Resource Management

Educational Activities

Environmental Education-Children

Environmental Education-Youth

Environmental Education-Adults

Nature-Related Crafts

Outreach Programs

Special Events/Projects Mgt

Media Design/Illustration

Computer/Technology Use

Administration/Organization

Interests:

Research

Wildlife Survey/Monitor

Botany/Horticulture/Gardening

Resource Management

Educational Activities

Environmental Education-Children

Environmental Education-Youth

Environmental Education-Adults

Nature-Related Crafts

Outreach Programs

Special Events/Projects Mgt

Media Design/Illustration

Computer/Technology Use

Administration/Organization

Please describe any additional interests, or skills that apply to your prospective volunteer participation in the Legacy Institute. :

Availability for Legacy Institute for the Environment

Classes for LIFE will meet Fridays, 9:00 to 2:30 from February 18 to April 15, 2011. As far as you know now, will you be able to attend all class sessions?: *

Yes

No

If not, please describe:

In LIFE’s field placement phase, volunteers commit to 100 hours of service over six months at CBEC. As far as you know now, can you commit to that volunteer service?: *

Yes

No

If not, please describe:

Do you have any restrictions (e.g. physical, travel, caregiving)?:

About Us
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Our Sponsors

600 Discovery Lane
Grasonville, MD 21638

Judy Wink, Executive Director
jwink@bayrestoration.org

P: 410-827-6694

CBEC is a designated

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