SECTION 1 – Applicant Information
Full Name:	Date:
District:	Current Position:
1.	Why do you want this position?
2.	Describe your experience, knowledge and/or training in forest entomology, pathology or non-native invasive plant control. Note: This information is helpful to forest health staff but no level of experience is required for the position.
3.	Why should Forest Health be a part of the agency’s overall mission?
SECTION 2 – Applicant Agreement
The primary roles/duties of the forest health liaisons are: Report presence of pests in the region and pass along observations from others. Encourage other regional personnel to submit reports. When needed, assist with trapping and surveys throughout the state. Attend trainings and conferences as time and funds allow. Disseminate information on emerging forest health threats and treatment options to other VDOF field personnel. Be available as the first point of contact for regional personnel with common forest health questions.
Selected individuals must commit to additional training and responsibilities that would not exceed five percent of their time over the course of a year. This is a temporary assignment with a three-year term, which may be terminated at any time if it is determined that the benefits are not being realized.
Applicant Name (Print)	Applicant Signature	Date
SECTION 3 – Senior Area Forester Approval
District Forester Name (Print)	District Forester Signature	Date
Return completed application to Lori Chamberlin by mail (900 Natural Resources Drive, Suite 800, Charlottesville, VA 22903) or email lori.chamberlin@dof.virginia.gov.