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Personal Information

First Name*

Last Name*

Address*

Address 2

County of Primary Residence*

City*

Zip*

Email Address* We'll never share your email with anyone else.

Phone Number* We'll never share your phone number with anyone else.

Demographic Information

MSU Extension programs are open to everyone. We are required, to ensure civil rights policy adherence, to report program participant race and gender data to the United States Department of Agriculture (USDA). Only aggregated information (total numbers across all programs) about race and gender are reported to the USDA.

Providing the following information is voluntary and will be maintained strictly for reporting purposes. These records are kept separately from mailing lists and other participant information.

Thank you for taking the time to provide us with this information.

Race (check all that apply)*

Alaskan Native or American Indian

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White or Caucasian

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If you checked Alaskan Native or American Indian above please provide your Tribal Affiliation

Ethnicity (check all that apply)*

Hispanic or Latino

Middle Eastern or Arab-American

My ethnicity is not listed

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If your ethnicity is not listed above, please specify

Sex and Gender*

If your gender identity is not listed above, please specify

Additional Information Please share anything else that is important to us to know about your identity.

Choose MiCorps Program

Program*

Your CLMP Role

Role*

A "Lead Volunteer" is responsible for enrolling lake(s) in the CLMP in each year, including choosing parameters and arranging payment, and coordinates the monitoring activities on the lake. All supplies and reports will be sent to the Lead Volunteer.

An "Assisting Volunteer" assists the Lead Volunteer with CLMP lake monitoring activities. They do not enroll/pay for lakes or receive supplies directly from MiCorps.

Waiver

Waiver: All volunteers must sign a waiver each year.*
View / Sign Waiver