2022 Online Enrollment

    Today's Date (mm/dd/yy)*

    Last Name*

    First Name*

    Telephone Number*

    Alternate Number

    Email*

    Home Address*

    City*

    State*

    Zip*

    What is the best way/time to get in touch
    with you?

    How did you hear about the Master Recycler Program?

    What do you hope to learn in the Master Recycler Program?

    What experience/training/interest will you bring to the course?

    Why do you want to participate in the Master Recycler Program?

    Will you be able to volunteer the required 30 service hours?
    YesNo

    Do you have any allergies or special physical needs we should be aware of? If so, please explain

    Any other comments or concerns?

    Course Description:Help

    Click on the "?" to read the complete course description.

    Check if you have read and understand the Course Description

    YesNo

    Verification