Beekeeper Collaborative Registration Participant InfoName* First Last Email* Apiary Address*This should be the street address where you keep your honey bee colonies. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneAre you a member of Orange County Beekeepers Association?*Current membership in OCBA is required for all participants. Yes No * Only people who are members of OCBA for 2018 will be placed in a First Year Cluster. Please Join or Renew your membership in OCBA to be eligible to participate. ** You may continue to submit your First Year Cluster registration prior to joining OCBA but only current members will be placed into Clusters.Beekeeping Course*Have you attended a bee school (in Orange County or elsewhere)? Yes No Beekeeping Experience*How many years have you been keeping bees? I have just completed my 1st year I have completed my 2nd year I have completed my 3rd year I have completed my 4th year I have been keeping bees for 5 years or more Leadership and Coordination*Are you willing to serve as a leader/coordinator for this group? Coordinators are not expected to be experts or serve as mentors. They will act in an administrative role to coordinate routine communications, manage logistics and document shared learning. Yes No Maybe NotesIs there any additional information relevant to your participation in this groups that you would like to share? Δ
