Participant REGISTRATION

Students must enroll in Leadership Ash Grove to receive event schedules. Participants must be over the age of 16 and reside in the Ash Grove School District. Here is the background information you need.

PROGRAM PARTNERS: University of Missouri Extension in Greene County will  take the lead in  partnership with the Greene County Commission. This program is part of the EXCEL Leadership network across Missouri which is lead by University of Missouri Extension.

WHAT IS THE COST? — Thanks to the Greene County Commission and a local grant, the program remains free.

PROGRAM INFORMATION - We recommend reading the program flier online.

ALUMNI — There is a group of EXCEL alumni and participants will be encouraged to contact alumni, learn from their experience, and involve them in projects or programs.

GOALS OF EXCEL — The EXCCEL program is designed to increase the capacity of individuals and communities to address community problems by mobilizing the community human and social capital for common purposes.  EXCEL strengthens: personal growth and self-efficacy; community commitment; shared future and purpose, community knowledge and civic engagement.

COURSE FACILITATOR -- David Burton is a council engagement specialist in community economic development for University of Missouri Extension and is headquartered in Greene County. Born and raised in Ash Grove (a 1984 graduate of AGHS). He has a master's degree in marketing and communication from Drury University (2001) and a Bachelor of Arts degree in political science and communication/journalism from Drury (1988). 

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* 1. Your contact information

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* 2. What is your county of residence? Greene, Dade or Lawrence?

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* 3. What is your gender?

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* 4. Your education level.

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* 5. I give permission to have my photo taken during classes and events related to this program and for those photos to be used by Greene County MU Extension and the Greene County Commonwealth.

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* 6. What community or service projects or groups do you currently work with or on?

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* 7. Provide a short essay explaining why you want to be part of the Leadership Ash Grove and what you hope to gain from this professional development experience. (400 words or less).

University of Missouri (MU) Extension Volunteer Code of Conduct - Volunteers are key MU Extension partners, helping guide and deliver programs that matter to Missouri citizens. Extension depends and expects all volunteers to understand and uphold the following Volunteer Code of Conduct at all times.

BE ACCOUNTABLE TO AND WORK WITHIN THE MU EXTENSION SYSTEM
1. Work within the scope of assigned volunteer role and follow all related program policies and procedures.
2. Conduct behavior in strict accordance with applicable laws and MU confidential information policies, using confidential information only as needed to perform volunteer duties. The following rules apply: a. access confidential information only with proper approval and refrain from misusing or treating it carelessly; b. do not divulge, copy, release, sell, loan, review, alter or destroy any confidential information except as properly authorized; c. understand and agree that any violation of the responsibilities explained in this section subjects a volunteer to discipline, possible removal from the volunteer role or legal liability. 
3. Treat all youth and adults equally, without discrimination. This includes providing equal access to participation for all youth and adults, regardless of race, color, sex, pregnancy, national origin, ancestry, sexual orientation, gender identity, gender expression, religion, age, veteran status, disability, or any other status protected by applicable federal or state law. Sexual violence is also prohibited, including but not limited to sexual misconduct, sexual exploitation, sex-based stalking, and dating/intimate partner violence. 
4. Avoid harming youth or adults, whether through sexual harassment, physical force, verbal or mental abuse or neglect. Retaliation for making or supporting a report of discrimination or harassment is also prohibited. Volunteers must report the incident to the MU Office for Civil Rights & Title IX at 573-882-3880 or at civilrights.missouri.edu
5. If your volunteer responsibilities meet the definition of a mandated reporter (i.e. anyone with care, custody or control of a child), then assume the role of a mandated reporter and, if concerned a child has been/or will be abused and/or neglected, contact the Missouri Child Abuse and Neglect Hotline 1-800-392-3738 (TDD 1-800-669-8689). If the situation is not an emergency an online report (http://dss.mo.gov/cd/can.htm) can be made. In addition, mandated reporters (anyone with care, custody or control of a child) should contact the MU Extension employee serving as the supervisor of assigned volunteer role. If it appears the child is in imminent danger, contact law enforcement as well. 
6. Avoid conflict of interest between assigned MU Extension volunteer role(s) and personal business interests.

BE A POSITIVE ROLE MODEL AT ALL TIMES
1. Obey laws of the locality, state and nation, including forgery, theft, destruction or defacement of property.
2. Display mutual respect to others, practicing patience, cooperation and teamwork.
3. Practice personal and intellectual integrity.
4. Under no circumstances engage in unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance at any Extension sponsored or supervised event. Avoid unlawful possession, use and/or distribution of alcohol at any Extension sponsored or supervised event. Avoid misuse or abuse of prescribed or over-the-counter drugs.
5. Be respectful of diverse opinions and perspectives.
6. Actively promote a safe environment for participants, volunteers, visitors, staff and others involved in the program. 
Volunteering is a privilege, not a right, and that failure to uphold any of the code of conduct standards above may result in coaching by assigned MU Extension supervisor. This may include reassignment, role restriction an and, if appropriate, removal from all MU Extension volunteer roles.

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* 8. Regarding the Code of Conduct, do you?

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* 9. By clicking yes, you certify that this is a truthful and complete report

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* 10. Is there anything else you’d like to share about your background or about Leadership Ash Grove program?

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