UConn Master Gardener Program Project Form

Master Gardeners and Master Gardener interns submit this form for approval for outreach projects prior to work on any outreach project

Complete this form and submit prior to beginning your outreach project.

Do NOT begin any outreach activity without prior approval

Please use a separate form for EACH outreach project proposal.

YOUR INFORMATION
Name*
First Last
Email*
Enter Email Confirm Email
Phone
Office Affiliation*
Please select the office with which you affiliate.
Project Name*
Project Sponsor Organization*
Project Location*
Project Description*
The project must have an educational focus and have a non-profit or municipal sponsor.
PROJECT CONTACT INFORMATION

Please provide information about the project sponsor and/or project manager.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone
CAPTCHA
E-Signature*
Type your name for your e-signature
DO NOT BEGIN WORK ON THIS PROJECT UNTIL YOU RECEIVE APPROVAL FROM YOUR COORDINATOR!
Name
This field is for validation purposes and should be left unchanged.

Phone:	860-486-7178
E-mail:	amber.guillemette@uconn.edu