Instructor Code:

County:

Course Dates:   (e.g. March 5-April 16, 2010)

Maximum Number of Students: (If blank will be set at 20.)

Minimum Number of Students: (You require to hold the course i.e. 10.)

Facility Information

Training Facility Name:

Building Name or Number:

Room Name:

Facility Address (include City & Zip Code: 
 
If using multiple Facilities, please enter name and address of each location:  

Instructor Information

Course Instructors (Names of those certified - titles are optional): 

Course Assistant Instructors (Names of those certified - titles are optional): 

Instructor Organization: 
 

Phone: 

Fax: 

Email:

Web Site:

Course Schedule:
List in following format:

• Day, Date, Times & Events (Classroom, Field trip, etc.)
  Sample:
  Day 1 (Monday, July 6, 2009)
  5:00pm-6:30pm     Classroom, Video, Presentations
   
• Include any notes regarding make up dates, lunch, etc.

Note:

1. All FMNP Instructors and Assistant Instructors must be on file with the FMNP Conference Coordinator.
 (All instructor names will be verified. If not on list, name will not be posted online.)

2. Each course is limited to 20 students. However, Instructors are allowed to increase the total up to 22. 

3. All registration is in advance.

4. Instructors are responsible for local publicity of their courses.

5. Instructors must fill out the student record and and invoice forms and mail it along with signed liability forms, completed evaluations and unused patches, pins & workbooks to the FMNP Conference Coordinator. Once received, the Incentive fee will be submitted to UF Finance for payment processing.

6. A master file will be kept with the Instructor's approved affiliated organization and incentive payment information.  Incentive payment will be made out to the Instructor's affiliated organization, which must be in the UF vendor system.

For Registration Information:
Shelby Sowder, Assistant Conference Coordinator
Office of Conferences and Institutes (OCI)
Phone: 352-392-5930
Fax: 352-392-9734
Email: msowder@ufl.edu

For Program Information:
Sandy Mickey, FMNP Coordinator
Phone: 239-658-3414
Fax: 239-658-3469
Email: info@masternaturalist.org

If you see a "FORM CONFIRMATION" after clicking the "SEND COURSE BOOKING" button, your form has been properly transmitted.

Please print a copy of the "Form Confirmation" and keep for your records.

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