Young Urban Forester Program

A 10-hour certificate program for middle and high school students. Program offered during after-school or summer hours only.All hours can be credited as community service hours.

If selected, you agree to:

• Supervise the students at every session with at least a ratio of one supervisor per 5-10 students
• Allow one absence only of the 5 sessions
• Allow no latecomers
• Be responsible for students bringing learning materials to each session

Applicant Information

First Name: *

Last Name: *

Title: *

Phone: *

Email: *

School Contact Information

Name of School: *

School Address: *

School Main Telephone: *

School Website: *

School Principal, Exec Dir or Secondary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Email: *

Participants Information

Number of students anticipated: *

Grade Level(s): *

Are you seeking to include the Young Urban Forester Program in an existing/ ongoing program? If yes, please answer the following

Name of Program:

Program Mission/Goals :

Program Start/ End Dates:

Program Contact

First Name:

Last Name:

Title:

Phone:

Email:

Dates/ Time Slots Available for the five 2-hour sessions of the Young Urban Forester Program:

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