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Applied Ecovillage Living



Printable Form

.....Application Form and Enrollment Questionnaire

We need your booking form and enrollment questionnaire to proceed with your booking.
Please fill out all the details. Payment will be taken once we have accepted your application and any bursary requests are resolved.

If you would like to pay by cheque, bank transfer, or standing order
please click the printable form icon above for a printable version of this form.

.....Personal Details

First Name* 
Surname* 
Organisation/Ecovillage 
Address* 
Address 
City/Town* 
Zip/Postcode* 
County/State
Country* 
Email* 
Fax
Telephone
Gender* Male Female
Date of Birth* (yyyy/mm/dd)
Fields marked with an asterisk * are required for us to be able to process your booking.

.....Enrollment Questionnaire

1. How did you hear about Applied Ecovillage Living?* 2. Have you participated in other Findhorn Foundation programmes?*
If so, at what date and who were the focalisers?


3. What attracts you to this programme?* 4. What are your particular interests within the ecovillage model?*
(e.g. ecological building, organic food production, local economy, team building, ecological restoration, etc.) 5. Have you participated in other education for sustainability courses?*
If yes, where and when?
6. If you live in an ecovillage or community, what are the strengths and weaknesses of your experiment?* 7. What would you like to receive or learn from this programme?* 8. What qualities or skills will you bring with you to share?* 9. What do you imagine might be your greatest challenge during this programme?* 10. Do you have any background/experiences with any meditation/spiritual practice? Do you follow any meditation/spiritual practice regularly?*
Please give details.
11. Do you have any background experiences with group work of any kind?*
Please give details.
12. How much do you know about Permaculture?* 

Never heard of it. Heard of it. Done an introductory course.

Done the PDC.

Live it and breathe it!

13. Do you have any physical limitations and/or are you taking any medication currently or recently that we should know about?*
Please give details.

14. In up to 100 words how would you like to introduce yourself to the other participants of the programme - your work, hope, visions, challenges.*
(Please note this particular answer will be circulated to participants, tutors & community prior to the programme.)

.....Fees & Payment

Tiered price for full (4 week) programme  
Amount
Please tick this box if you would like details about the optional Week 5
Yes, please send me information about Week 5

.....Payment Details

To confirm your booking, we require:
A £95 non-refundable deposit. Please remember that payment in full is required four weeks before the starting date of your programme.


I intend to pay the following


Full Payment   A £95 non-refundable deposit


.....Bursary Fund Contribution

I/We would like to contribute £ to the Financial Support/Bursary Fund to allow those with less money to attend your workshops.

I would like to apply for a bursary, please send me the bursary application form.


.....Card Payment

Total I wish to pay now in GB£:

Please check that you have entered all of the details correctly and then click the Send & Continue button below to continue to the secure card payment form.

     
Scottish charity number SC007233