At The Peace-Atorium
Balston Spa, NY
From April 7 – July 7, 2012
Gender:_________ Age_______Phone:_____-_____- ______
Accommodation Information Required: ______
We need to know the best method of communicating with you.
· How did you did you hear about us?
Please answer the following questions (one page):
1. Please describe your previous experience, if any (gardening, farming, green building, alternative energy systems, organizing, etc.)
2. What is your interest in this course, and how will this education assist you in the future?
3 Put in to words, briefly what is your background? ( ie: professional/educational)
Please enclose your $100 non-refundable deposit with your application. Make checks out to Cloudburst Cultivated Ecology. Thank you.