National Advanced Silviculture Program (NASP) 9 ~ Ecological Systems Module
Participant Questionnaire

Please answer the following questions and send back as an email attachment to Molly:

1.  Your name:

2.  Please list any dietary restrictions:

3.  Do you have any other restrictions we should know about to help make your stay more comfortable?

4.  Please provide the following information which will be used to set up your computer access:

(1)  FULL NAME:

(2)  DRIVER’S LICENSE NUMBER & ISSUING STATE

OR PASSPORT NUMBER & ISSUING COUNTRY:

5.  Are you willing to be a DRIVER during the course? (We may occasionally need drivers for SUVs).

6.  Please indicate your preferred lodging (1 and 2): Single dorm room at CFC

Single at AmericInn (Cloquet)

7.  Please provide your anticipated travel itinerary:

ARRIVAL DATE/Airport: DEPARTURE DATE/Airport:

ARRIVAL TIME: DEPARTURE TIME:

FLIGHT NUMBER: FLIGHT NUMBER:

OTHER (driving, etc):

8.  Would you like us to arrange transportation to/from the airport? (Note: We provide pick-up and drop-off at Duluth Airport, and can provide contact info for securing transit from Minneapolis-St. Paul airport.)

9.  We ask that you bring your own hardhat. If you are unable to bring your own hardhat, would you like us to provide one for you?

( ) YES, I need a loaner hardhat

Please see reverse.


Please fill out the following information to be part of a Biographical Sketch for the NASP9 class. Please also send a photograph of yourself to be included (fine to attach separately). I’ve provided my own Bio Sketch as an example.

Name: Linda Nagel
Current work location & mailing address:
Cloquet Forestry Center
Department of Forest Resources, Univ of Minnesota
175 University Road
Cloquet, MN 55720
Contact information:
E-mail:
Phone: 218-726-6484 (office) 906-370-5494 (cell)
Education:
BS Biology, South Dakota State University
MS Nat Res Sciences, Washington State University
PhD Forestry, University of Montana
Work Experience:
Professor & Director, CFC, UMN, 2013-present
Assistant/Assoc Prof 2000-2013, Michigan Tech
PASS/NASP Director and Instructor for 13 years
Hobbies:
Cross-country skiing, snowshoeing, camping, hiking, kayaking, yoga /
Name:
Current work location & mailing address:
Contact information:
E-mail:
Phone:
Education:
Work Experience:
Hobbies: / Insert Picture Here or Send Separately