2027 Maryland Master Naturalist Application Form

WAITLIST

The 2026 class is now full. Please email Autumn Phillips-Lewis if you wish to be notified when next year's application process opens.

Training Host Site:	American Chestnut Land Trust
Mailing Address:	P.O. Box 2363, Prince Frederick, MD 20678
Physical Address:	676 Double Oak Road, Prince Frederick, MD 20678
Class Dates:	February-May 2027
Class Times:	Monday eve. 6-9 pm plus 3 Saturday Classes/Field Trips (TBD)
Program Facilitator:	Autumn Phillips-Lewis, ACLT Executive Director
email:	autumn@acltweb.org

Name

First NameLast Name

Name as you wish it to appear on your Master Naturalist name tag:

Address

Street Address

Street Address Line 2

CityState

Zip Code

Cell Phone #

Please enter a valid phone number.Format: (000) 000-0000.

Home Phone #

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

County of Residence

Occupation, if employed

Former occupation, if retired

Emergency Contact Name

First NameLast Name

Emergency Contact Phone #

Please enter a valid phone number.Format: (000) 000-0000.

1. List any training or experience in environmental education, research, stewardship, or related areas. In what area(s), if any, do you specialize (e.g., native plants, forestry, management, etc.)?

2. Why do you wish to take the Master Naturalist training?

3. How do you plan to use the training you receive? What type of volunteer projects would interest you?

4. How did you learn about the Master Naturalist program?

5. Master Naturalist activities span a broad range of community service. If you are selected as a Master Naturalist trainee, will you be able to complete your 40 hours of volunteer service within one year of the last day of your volunteer training?

If no, please explain.

6. Please rate your expertise in the following areas:

Rows	Experienced	Some Knowledge	None
Forestry Management
Wetlands
Chesapeake Bay
Lakes/Ponds
Rivers/Streams
Birds
Amphibians/Reptiles
Insects
Mammals
Plants/Trees
Natives/Invasives
Soils
Ecology
Interpretation/Teaching

7. Please list any special skills you have that may be useful to the Master Naturalist program.

Rows	Skill Level/Experience/Add'l Info
Graphic Design
Software Design
Website Maintenance
Data Entry
Editorial
Marketing
Art
Writing
Photography
Lesson Planning
Other Skills (specify)

8. Please list organizations or clubs in which you are active.

9. Please list languages, other than English, in which you are fluent.

10. Check those with whom you prefer to work:

11. What kinds of volunteer projects would be the least comfortable for you to do?

12. Classroom materials will be posted on our website. Do you have internet access? If not, is there someone who can assist you?

13. Occasionally, classes may need to be held virtually. Do you have the ability to participate in classes online?

Work Experience:

Rows	Employer	Position or Title	# of Years
Current Occupation
Previous Work Experience

Additional Work Experience (optional)

Background: If you have special needs that we would need to plan for, please let us know:

Have you ever been convicted of, pled nolo contendere (no contest) to, or received a deferred or suspended sentence for a crime more serious than a parking or speeding offense in this or any other state, territory, or country?

If yes, please give date, nature of offense, and disposition:

(A criminal record will not necessarily prevent an applicant from being a Maryland Master Naturalist; a criminal record will be considered as it relates to specifics of the volunteer position for which you are applying. Give all the facts so that a decision can be made.)

References: List three people who have definite knowledge of your character and skills. Email addresses are required. Do not list family members.

Reference #1 Full Name

First NameLast Name

Reference #1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #1 Email Address

example@example.com

Reference #2 Full Name

First NameLast Name

Reference #2 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #2 Email Address

example@example.com

Reference #3 Full Name

First NameLast Name

Reference #3 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #3 Email Address

example@example.com

Authorization

I authorize the Maryland Master Naturalist Program Facilitator to request and receive any background information about or concerning me, including, but not limited to my criminal history. I also authorize the Maryland Master Naturalist Program Facilitator to contact the listed references and to verify the information provided. I understand that misrepresentation or omission of facts requested is cause for non-appointment or dismissal as a volunteer. If appointed as a volunteer, I agree to abide by the philosophies and policies of the Host Site, ACLT, as well as the Maryland Master Naturalist Program and to fulfill the volunteer responsibilities to the best of my ability.

Certification

Signature

Hold down your mouse key to sign, or use your finger if using a touch screen.

Date