Registration

REGISTRATION

Submitting the following registration form will secure your space in the workshop. The workshop includes seven units of instruction, pre-course requirements, and time to complete final project (if taking for credit). Allow 8-10 weeks to complete the course. Optional ED808 credit is available through Oregon State University, College Education. Credit will be paid directly to OSU using the registration form sent with your enrollment packet. Please review the Course Process and Requirements message at the bottom of this page before proceeding.

Registration Form

**Required information

Full Name:		**
Address:		**
City:		**
State:		**
Zip Code:		**
Phone (day):		**
Phone (eve.):
Fax #:
Email Address:		**
:
I would like the Habitat Education Site Tool Kit Video Series in:
	DVD format VHS format
I have attended at least part of a 4-H Wildlife Stewards Training Course:
	Yes No	Date (month/year)
Do you want course credit? (2 professional development graduate credits – $120)
	Yes No

Cancellation policy: We would appreciate at least 7 days notice of cancellation so that others may have the opportunity to join the class. Class size is limited to 12. Written notification may be sent via email to: Maureen Hosty or fax: 503-916-2676

Register by April 10, 2008

Payment

Cost is $115.00 without credits

Make check payable to OSU Extension 4-H and mail to:
4-H Wildlife Stewards
c/o Sunnyside Environmental School
3421 SE Salmon
Portland, OR 97214

Cost is $120 for two Professional Development Course Credits (this is in addition to the $115 course fee). Complete the OSU ED808 Registration form (indicate on the course registration form your interest in receiving course credit and a form will be mailed to you).

Pre-Course Requirements
(the following must be completed prior to starting the course)

4-H Volunteer Service Application (two pages)
- 4-H Volunteer Service Application p. 1 (pdf)
- 4-H Volunteer Service Application p. 2 (pdf)
Program Commitment Form (pdf)
Complete the 4-H Background History Release Authorization form with your local 4-H office
Complete the 4-H Volunteer Leader Screening process with your local county 4-H Staff

Course Process and Requirements

Pre-Course Requirements: Trainees must complete a course 4-H volunteer application, program commitment form and an interview with their local 4-H staff. Background History checks are conducted on all 4-H volunteers. Your local 4-H office will provide you with the forms necessary for authorizing Oregon State University to conduct this check. There is a $95 course fee which should be sent to the address listed above. After these requirements have been met, trainees will receive a confirmation letter with a password and instructions on how to log on, their 4-H Wildlife Stewards Project Handbook, 4-H Wildlife Stewards Project Certification Handbook, DVD or VHS video series, and registration form for OSU graduate credit (for those who indicate interest in taking this course for credit).
Each module includes a short quiz and sometimes an on-line assignment. Trainees must correctly answer 80% of 5-10 multiple choice questions and fully complete each assignment. Trainees will also be required to participate in the 4-H Wildlife Stewards web course on-line discussion board each week.
Trainees must complete the course survey
Trainees only have to complete the modules they have not received through one of the 4-H Wildlife Stewards on-site trainings.
The instructor (Maureen Hosty) will inform them each time they have passed or completed a module. Trainees must complete the module again if they don’t pass.
Once trainees have successfully completed all the required modules they will receive a certificate of completion.
Trainees taking this course for professional development graduate credits must write a one page reflective paper on how they intend to incorporate the information and resources from this on-line course into their school setting.