Volunteer Hours and Education Record Year you are reporting_________

Volunteer Hours and Education Record
Please complete and submit this form each January
Year you are reporting_________
Name ____________________________________
Address __________________________________
__________________________________
Phone __________________
E-mail _________________________
Check here if your personal info has changed.
To earn certification, Interns must earn 20 hours within 2 years of course completion date. Interns
can apply up to 5 educational hours towards their 20 hours.
Certified Master Composters should contribute 5 hours per year.
Extension Master Gardeners NOTE: Your Master Composter volunteer hours will also be credited
as EMG hours. Please submit both MC and EMG hours forms every year. Record compost
activities on both forms.
Date
Volunteer Projects and
Program Support of Master Composter
Hours
Earned
# of
contacts
with
public
Table
at fair,
show,
market,
etc
Gave a
presenOther
tation
project
to a
group
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O O
Total Volunteer Hours:
Certified Master Composters must earn 5 Educational Hours every 5 years.
Date
Educational Program Topic
(i.e. composting short courses, seminars,
workshops, etc. offered by Extension,
Technical Institutions, etc.)
Mail this form to: Extension Master Gardener
University of Vermont
63 Carrigan Dr., Jeffords Hall - Room 206
Burlington, VT 05405
Location
Speaker
Total Educational Hours:
NO DUES REQUIRED
Hours
Earned