Advanced Master Gardener Annual Continuing Education Unit Submittal Form

* Submit a record of earned CEUs with the names and the sponsors of the workshops attended and the number of CEUs earned.

* It is the responsibility of the MG to submit for approval information on workshops that are outside the continuing education offerings. The MG must submit a completed Request for CEU Approval form 1 month prior to attendance at the event.

The MG must also submit a certificate of attendance or confirmation from the organization verifying that she/he attended the program when submitting their yearly CEU Record Report of accumulated CEUs.

1) Name

2) EMail Address

3) County

During the calendar year from October 1, 2007 to September 30,2008, I attended the following classes, symposia or technical development seminars (note-this submission will allow up to 6 responses. If you have attended more than 6 classes, please submit an additional form):

4) Name of Class and Sponsor

5) Number of CEU's

6) Name of Class & Sponsor

7) Number of CEUs

8) Name of Class & Sponsor

9) Number of CEU's

10) Name of Class & Sponsor

11) Number of CEU's

12) Name of Class & Sponsor

13) Number of CEU's

14) Name of Class & Sponsor

15) Number of CEU's