Extension Master Gardener Program Training Course Southfield - Oakland County

For REFERENCES: Submit Review Here

Required fields are indicated with an asterisk (*)

Reference Information

Your name was by an individual applying to be a volunteer with MSU Extension programs. To provide a reference, you should be 18 years of age or older and not be related to the applicant. This includes family members, boyfriends, girlfriends, partners, significant others, etc.

Our volunteers serve on boards, councils and committees, work with vulnerable populations and/or support young people ages 5-19 years of age. Therefore, they are carefully screened to ensure the safety of all of our participants. The applicant has provided your name with approval for you to release information about them for this purpose. MSU Extension seeks your help in gathering information about people to serve in volunteer roles and appreciates your prompt completion of this reference form.

Please provide your information in this section. * First Name * Last Name * Address Addt'l Address * City * State * Country * Zipcode * County * E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card. * Preferred Phone * Preferred Phone Number

Master Gardener Applicant Contact Information (The person for whom you are providing a reference)

Please indicate the information below to confirm who you are providing a reference for the MSU Extension Master Gardener Program Application. * Master Gardener Applicant's First Name (person for whom you are providing a reference) * Master Gardener Applicant's Last Name (person for whom you are providing a reference) * Master Gardener Applicant's Address (person for whom you are providing a reference) * Master Gardener Applicant's City (person for whom you are providing a reference) * Master Gardener Applicant State (The person for whom you are providing a reference) * Master Gardener Country (The person for whom you are providing a reference) * Master Gardener Applicant Zip Code (The person for whom you are providing a reference)

Contact Information

For more information contact Cathy Morris at 248-858-1639 or morri735@msu.edu.