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2022 4-H Exploration Days Session Submission

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November 1, 2021 - Author:

Below you will find the questions on the online 2022 4-H Exploration Days Session Submission form.  All submissions should be submitted through the online form.  However, this document is being provided to help volunteers preview and plan for their online submission.

 

2022 Exploration Days Session Submission Form

Thank you for applying to teach at the 2022 Michigan State University Extension 4-H Exploration Days taking place June 22 to 24, 2022 on the campus of Michigan State University.  We are so excited for your interest in our program.

We are accepting session proposals on Thursday, June 23 and Friday, June 24.

The request for sessions is open until December 15 and we let you know if your submission has been chosen as part of the 2022 schedule by early 2022. Chosen sessions will receive a second survey in 2022 to finalize session information.

Contact information for the primary session instructor. This person will serve as the point of contact.

First Name ________________________________________________________________

Last Name ________________________________________________________________

Preferred mailing address ____________________________________________________

City _____________________________________________________________________

Postal code _______________________________________________________________

Cell phone number (will not be shared, but may be used on the day of the event in case of emergency) _______________________________________________________________

Daytime phone number ______________________________________________________

Email address _____________________________________________________________

Are you a Michigan State University employee?

Yes

No

If you have worked with MSU Extension staff members in the past (with Exploration Days or with other programming), please list their names here:

____________________________________________________________________________

Have you read and agree to the MSU Extension 4-H Exploration Days Session Instructor Role Description?

Yes

No

How many times (would you guess) you have taught at Exploration Days before?

I have not taught at this event before.

1-3 times

4-6 times

7-10 times

More than 10 times

Are you a registered Michigan State University Extension Volunteer (4-H, Master Gardener, Health and Nutrition, etc) as a Gold volunteer?

Yes

No

Maybe

Session Title

____________________________________________________________________________

Session Description (about 3-5 sentences max)

____________________________________________________________________________

How many times are you willing to teach this session?

1 time

2 times

3 times

What is your maximum number of youth participants?

__________

What session date/length are you willing/available to teach this session at (select all that apply)? Note: 

  • Field trips off campus are only for sessions held on Thursday (Session C) due to timing. 
  • Busing to an on-campus location is available for all sessions.

Session A: Thursday, June 23 from 8:30am-11:30am (3 hour session)

Session B: Thursday, June 23 from 1:30pm-4:30pm (3 hour session)

*Session C: Thursday, June 23 from 8:30am-11:30am AND 1:30pm-4:30pm (6 hour session)

Session D: Friday, June 24 from 8:30am-11:00am (2 1/2 hour session)

What age range of participants is this session appropriate for?  (Exploration Days participants will be 12- 19 years old so, if a specific age range is preferred, please note.)

____________________________________________________________________________

Is a $5 per youth budget sufficient for your program?

Yes

No. If no, what do you anticipate will be the cost per participant? ________________________________________________

Would you need busing to an on-campus location (such as the Pavilion, the Bakery, Barns, etc) or nearby vicinity during your session?

Yes. Please describe. _______________________________________________________

No

Field trips off campus are only for sessions held on Thursday (Session C) due to timing. You previously selected a Thursday session, will you take a field trip off campus?

Yes

Maybe

No

Would you be willing to teach this session virtually? (check all that apply)

Yes- live virtual

Yes- pre-recorded video

Yes- independent learning content (asynchronous)

Maybe

*No

How will you make this program interactive, incorporate hands-on learning experiences for youth, and fill the full time slot?

____________________________________________________________________________

Is there any other information you want to provide about your session? 

____________________________________________________________________________

Do you have any youth or adult session support?  This includes co-instructors, youth helpers, adult co-facilitators.

Yes

No

How many session support people do you have names for at this time?

  1. I know I will have support, but have no names at this time.

1

2

3

4

5

6

7

 

Enter the information for support contact 1 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

 

Enter the information for support contact 2 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

Enter the information for support contact 3 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

 

Enter the information for support contact 4 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

 

Enter the information for support contact 5 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

 

Enter the information for support contact 6 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

 

Enter the information for support contact 7 below

Is this a youth or adult session support?

Youth

Adult

Session Support's contact information

First name ________________________________________________________________

Last name ________________________________________________________________

Email address _____________________________________________________________

Phone number (cell preferred) _________________________________________________

Has this individual gone through the MSU Extension Volunteer Selection Process as a Gold volunteer?

Yes

Maybe

No

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Tags: 4-h, 4-h exploration days, msu extension, volunteering & mentoring

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