Thank you for your interest in becoming a Master Birder! Please complete all fields below in full. (If you are an educator or parent nominating a student, share your own contact information and impressions of him/her.) Please contact Catherine Ridley at 912-264-4111 or email catherine@onehundredmiles.org if you have any questions or need additional information.

Scholarships are non-transferable and will be awarded on a rolling basis and as funds allow.

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* 1. Name:

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* 2. Email Address:

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* 3. Phone Number

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* 4. Are you:

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* 5. Are you applying for a:

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* 6. Tell us about yourself and your role in the community. (If nominating a student, please share your impressions of him/her.)

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* 7. How would you (or your nominee) benefit from attending the Master Birder course?

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* 8. Comments/anything else you'd like us to know:

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