9 month Permaculture Design Certificate Course Application form

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Please complete this form AFTER reading through the full course details available here and ensuring that you are ready to commit to this course. Any questions arising can be emailed to hannah@earthcare.ie
https://docs.google.com/document/d/1Gt_Bmk5aomF35IwccdGJheOUkDkS237DzrFDlYHi0ZY/edit?usp=sharing

Email *

Your full Name *

Your address. **You must live within the 'catchment area' of County Roscommon and surrounding areas. *

Phone number *

Why would you like to participate in this course? *

What are your areas of interest in Permaculture? *

What additional needs do we need to be aware of to enable your full and effective participation in the course? eg: working around childcare, depending on public transport or lifts, physical ability, mental health, financial constraints etc PLEASE GIVE DETAIL *

How will you be paying for the course?

I will be paying in full a once off payment

I would like to arrange a payment plan to pay in installments

I am receiving social welfare payment and I am applying for the TSG grant

Other:

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