MGGNO Leave-of-Absence Request Form

Request for Leave-of-Absence

On occasion, a Louisiana Master Gardener is unable to fulfill the requirements to maintain certification due to illness, illness in the family, or other personal situation. In cases such as these, a “Leave of Absence” can be granted by the local Master Gardener Coordinator. This decision is generally made with input from the individual and local Master Gardener leadership.

I have completed my initial certification for the Louisiana Master Gardener Program and I am requesting a one year leave of absence for reasons I have discussed with my local Extension Master Gardener coordinator.

I will begin this leave of absence status as of (date):

and therefore defer privileges associated with the title Certified Active Louisiana Master Gardener until reactivated.

I understand for reactivation as a Certified Active Louisiana Master Gardener I will need to:

Inform the local Extension Master Gardener Coordinator of my intent to regain active status Complete 20 hours of volunteer service and 6 hours of continuing education Sign and return the Louisiana Master Gardener Volunteer Agreement to the local LMG coordinator

Master Gardener Signature:

Date:

Local Master Gardener Coordinator

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Request for Leave-of-Absence

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