Enclosure 1

FY2011 Nomination Format - R6

Continuing Education for
Natural Resource Professionals


Applicant Name:  
Present Series/Grade:  
Present Title:  
Year started in Current Position:  
Year started as Professional  
City/State/Zip Code:  
Work Phone:  
E-mail address:  



Workshops completed in this Continuing Education Program (historical)

Workshop Title Host Institution Year

Workshops you are applying for in FY2011 - LIST IN PRIORITY ORDER.
For workshop descriptions, see the FY2011 brochure or CE-WFW Web site www.fs.fed.us/biology/education.

Workshop Title Host Institution Date Forest

I fully support my employee to attend ONE of the above workshops requested (if more, please indicate below). This support includes time, travel and per diem.

______________________ _______________________ ____________
Immediate Supervisor
Line Officer

 If more than 1 approved, please note it below.

Initial the appropriate approval block, if applicable
1 more workshop (2 total)  
2 more workshops (3 total)  
3 more workshops (4 total)