Plant Path PDC Scholarship Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Your Name *

Phone *

Scholarship Amount Requested (up to 50%) *

How did you hear about this course? *

Which course are you hoping to sign up for, Multi-season or Intensive? (refer to course description on the Education Page of our website for distinction between course options) *

What is your interest and experience with Permaculture? *

How would you benefit from taking this course? *

How will others benefit from you taking this course? *

In exchange for the discounted course fee we expect that scholarship recipients will volunteer as a work exchange (options both during the course and outside the course). Are you open to volunteering on the farm? If not, are there any other trades or exchanges you can offer? *

What is a good emergency contact for you? (Please write name, phone number/email and relationship to you) *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Plant Path. Report Abuse

Forms