2021 Membership Application

2021 Membership Application

Monroe County Master Gardener Association (MCMGA)
Monroe County Master Gardener Association

2021 Membership Application

Return by December 1, 2020 for inclusion in our Folia & Flora Membership Book. Items with an asterick are mandatory to fill out.
Please check your preferred method of folia & flora: Digital Hardcopy
Name *

First Name Last Name
Second Name

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
To save on paper usage and postage costs, Roots & Shoots is now in digital format. A link will be sent to all members, via email, for your viewing pleasure. Please contact the Extension Office if you need another format for R&S.
Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Your current MG Certification Status - Class Year:
Class Year
Type of Certification

Intern Certified Advanced Bronze Silver Gold 1,000 VHrs Gold 2,000 VHrs Gold 3,000 VHrs Gold 4,000 VHrs Gold 5,000 VHrs
General Meeting: Have you attended any of our on-line Zoom webinars:

Yes No
When in-person meetings return, would you like the option to attend via Zoom?

Yes Probably Not: I prefer coming in person Perhaps
Master Gardener Volunteer Opportunities: These are current MCMGA led community volunteer projects. You will periodically receive notice of other opportunities as they become available. Or, check with Amy Thompson regarding individual projects which may meet Purdue Extension Volunteer guidelines.

Courthouse Native Gardens - Coordinator Pam Roberts. Help with planting, maintaining and labeling the native landscape at the Monroe County Courthouse. MCMGA Education Committee - Coordinator Terri Vicenzi. Volunteers help secure speakers for member and public gardening events. MCMGA Membership Committee - Coordinator Pam Roberts. Volunteers help develop programs and initiative aimed at increasing and maintaining membership. WonderGarden - Coordinator Nancy White. Part of the WonderLab Museum of Science, MCMGA volunteers design, maintain, and mentor community volunteer groups as they learn best gardening practices.
Important Note: After membership application is received, MCMGA will contact you in early 2021 with an on-line link for the required annual Purdue Volunteer Agreement Form.
My Products (Includes Fees)
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Individual Dues $ 15.75

Household (2 members in same family) $ 21.00

Total $ 0.00
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