Enclosure 1

FY2011Nomination Form - R8

Continuing Education for
Natural Resource Professionals

Applicant Name:

Present Series/Grade:

Present Title:

Year started in Current Position:

Year started as Professional

Region/Forest/District:

Address:

City/State/Zip Code:

Work Phone:

E-mail address:

Workshops you are applying for in 2011 – LIST IN PRIORITY ORDER.

For workshop descriptions, see 2011 Brochure or the web site: www.fs.fed.us/biology/education.

Workshop Title & Location

Date

I fully support my employee to attend one or more of the above workshops requested. This support includes time, travel and per diem.

______________________	______________________
Supervisor signature	Date Signed

 Send completed nomination form to Leigh McDougal - lmcdougal@fs.fed.us by September 10.