AmericanHort – Community Connector Application

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Thank you for your interest in volunteering your time to serve on an AmericanHort Community Connector Group. A limited number of open positions are available each year. To be considered for this role, please complete this application form and we will be contact with you when reviewing new group members.

I have read the Privacy Policy and grant consent to use my data.

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First Name *		Last Name *
Organization *
Address Line 1 *
Address Line 2
City *		State *
Zip/Postal Code *		Country *
Phone Area Code *		Phone *
Email Address *
Which industry segment do you work in? *		Which connector group interested in joining? *	Garden Retail Generation Next Greenhouse Interior Plantscape Landscape Nursery

How long have you worked in the horticulture industry? *		How long have you been a member of AmericanHort?
__________________________________________________________________________________________________

Why do you want to serve on AmericanHort Community Connector Group? *
.___________________________________________________________________________________________________

What can you contribute to an AmericanHort Community Connector Group? *
___________________________________________________________________________________________________.

Please provide any additional background or other information you would like us to consider *
__________________________________________________________________________________________________.

Are you willing to attend monthly conference call meetings and an annual fall meeting? *	Yes No

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