The Year the session you are applying for is going to held: 2002 2003 2004 2005 2006
Mr/Ms First Name: Last Name: - Dr Mr Ms
Home Address
Street Address City
Home County State (change if different) Zip
Phone E-mail
County(ies) of Woodland Ownership
What is your current occupation:
Please choose the phrase that best describes the highest level of education that you have completed. - Some High School High School Degree Some College Under Graduate Some Post Graduate Post Graduate
Years Lived In Wisconsin Years Lived In Current Community
Approximately how many acres of woodland do you own or manage in Wisconsin?
acres owned , acres managed by you but owned by someone else .
How many miles do you live from the major portion of your woodland holdings?
What are your plans for your woodland property in the next five (5) years?
(Please check all that apply)
I Don't Know Leave it as is - no activity Minimum activity to maintain woodland Collect non-timber products Harvest timber products Sell some of my woodland Sell all of my woodland Give some or all of my woodland to my children or heirs Divide all or part of my woodland and sell the subdivisions Buy more woodland Convert some or all of my woodland to another use Convert another land use to woodland
Other (please specify):
What are your primary interests and/or management objectives for your woodlands?
(Please list these in order of importance. A sample list might be: 1 Income production from timber, 2 wildlife habitat improvement, 3 Maple syrup production, 4 Recreational enjoyment.)
1:
2:
3:
4:
5:
What if any, forest or wildlife habitat management activities have you carried out on your wooded property in the past 3 years? (For example: timber stand improvements, road construction/maintenance, releasing apple trees, brush pile making, etc.)
In the past 5 years, from which of the following sources have you received advice or information regarding the woodland you own in Wisconsin? (Please check all that apply) I have not received any advice or information about my woodland in the past five years I don't remember State Forester (DNR Division of Forestry) State Wildlife Biologist (DNR Division of Wildlife Management, Endangered Resources, etc) University of Wisconsin Cooperative Extension System (County Agent or State Specialist) Land Conservation Department employee Natural Resources Conservation Service (formerly SCS, Soil Conversations Service) employee Private consultant, such as forester or wildlife biologist Forester from a forest product company (such as sawmill, pulpmill, etc.) Employee of a non-profit group (such as Ducks Unlimited or Tree Farm, etc.) Other forest landowner, neighbor or friend
Other (please list):
Do you currently have a written management plan for your woodland?
I do not own or manage any woodland (please skip to next section) No - if no, please skip to next section Yes - if yes, how many acres are covered by your plan?
Does your plan address wildlife management? Yes No
Does your plan address timber production? Yes No
Who helped you develop your plan? (please identify):
Please indicate the statement that most accurately describes your current level of knowledge regarding forest and wildlife management (Please check only one)
I have no knowledge of forest or natural resources management. I am aware of several options available to me for managing my property for wood, wildlife and other benefits. I understand some forest and wildlife management concepts and can explain them to others. I have sufficient skill to implement some forest and wildlife management activities on my land. I am very knowledgeable about forest and wildlife management.
What is your current level of knowledge in each of the following areas? (For each topic, place a value between 1-10 (1 indicating No Knowledge and 10 indicating Extensive Knowledge) that you think best represents your level of knowledge)
Forest aesthetics, recreation, and other non-timber issues Forest Ecology Wildlife Silviculture Timber Harvesting and Marketing Forestry Business Decisions and Resources
To what extent do you provide advice or information to other woodland owners regarding forest stewardship?
- Not at all Very Little Some A great deal
What is your level of interest in providing neighbors and other community members with advice or information on forest stewardship?
- Not interested Somewhat interested Interested Very Interested
Which of the following do you feel are your three (3) strongest potential abilities as a communicator? (Please select 3 choices)
Writing for newspapers, periodicals, etc. Appearing on radio Appearing on television Public Speaking Organizing workshops or educational displays Leading groups in the field One-on-one conversations with neighbors and others Addressing important issues with legislators or local officials Staffing educational displays and answering questions at agricultural fairs or similar functions Other (please list):
Please list any current or past community and organizational involvement. (For example: forest related, environmental, professional association membership or offices, community boards or committees, other volunteer activities)
Organizations/Activities
Role(s)
Current Former
Additional Organizations/Activities
What aspects of the Master Woodland Steward Program interest you the most?
1)
2)
3)
4)
5)