Cumberland County Maine Master Gardeners - Monthly Activity Report Form

Master Gardener Monthly Activity Report

Please complete the following form and then submit by e-mail by clicking your mouse on the SUBMIT button at the bottom of the form. You will then be taken to a confirmation page showing what you reported.

Note! Use the "Tab" key to move from field to field. Do not use the "Enter" key at any time, or this will send an incomplete report. Use the SUBMIT button at the bottom of this page to send the report to Cumberland County Cooperative Extension.

Name: Month: Year:

Activity(s) Since Last Report:

Total Estimated Hours Spent (in hours)

Estimated number of people with whom you dealt:	Male	Female

Minority Contacts by Number

White		Black		Hispanic		Asian		Native American
Male	Female	Male	Female	Male	Female	Male	Female	Male	Female

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University of Maine Cooperative Extension Office, Portland, Cumberland County, Maine.
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