CERTIFICATE OF ADVANCED TRAINING

I. Master Naturalist Name _________________________

Chapter Name ____________________________________

Advanced Training Opportunity Title _____________________________________________

Pre-Approved by Chapter _________________________ Date: ______________


II. Training Opportunity

Instructor ____________________ Organization/Agency _____________________________

Training Location ______________________________________

Date of Training ______________ Length of Training __________ (hrs./mins.)

Skills Learned: ______________________________________________________________

Knowledge Gained: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Style: (check all that apply) Lecture ___ Outdoor Training ___Video ___ Conference ___

MMN Annual Meeting ___ Adv. Tr. by MMN ___ Web/Internet ___ Hands-on ___

Participant’s Evaluation of Training: _______________________________________________
__________________________________________________________________________
__________________________________________________________________________

Instructor’s Signature ________________________ Date: ______________


III. Chapter Records (for official use only)

Hours recorded by Chapter ____ Recorded by: ____________________ Date: ____________