2013 New Mexico 4-H Adult Forum
Workshop Proposal

• Fill in the form below and click on the SAVE button.
Questions/Problems? Send an email to NMSU State 4-H or call (575) 646-3026.

First Name    Last Name

Mailing Address  City     State     Zipcode

Work Phone     Home Phone

Cell Phone       E-Mail Address

Workshop Content Area (Check all that apply)

Youth Development       Adult/Volunteer Development      New Ideas Program Development  Current Issues          Project   (specify)

The workshop is appropriate for  (Check all that apply)

Everyone     New Volunteers     Veteran Volunteers     Parents     4-H Staff

Workshop Title  (25 character limit)

Workshop Description (50 words or less)

Workshop Goals

Presentation Format (Check all that apply)

Small group activity

Lecture

Discussion

Panel

Interactive

Audio Visual

Other (Specify)

Does this workshop need open space for movement?    Yes      No

Length of Workshop:   1 Hour   1.5 Hours   Either

Audio/Visual Materials Needed     Newsprint Pad and Markers    TV/VCR    LCD Projector, Computer, Screen    Transparency Overhead Projector, Screen

All workshop proposals must be entered online or postmarked by June 15, 2013 to: Linda Schultz, State 4-H Office, MSC 3AE - P.O. Box 30003, Las cruces, NM 88003 FAX: 575-646-3027     E-mail: schultzl@nmsu.edu