Earthship Te Timatanga

Full Name

PrefixFirst NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Date of Birth

Occupation

What inspired you to apply for this earthship workshop?

Describe why you are interested in Earthships

What skills will you be bringing to the workshop?

How do you want to take what you learn at this workshop back to your community?

What would you attempt to do if you knew you could not fail?

If you could change one thing in this world what would it be?

Do you have any dietry requirements?

Are you been through the Earthship Biotecture Acadamy?

If Yes… We are looking for ten graduates to join our team. You will not have to pay your education fees, just your food which works out at $25. a day. Would this interest you?

Please tick how long you intend to attend

Is there anything else you would like to add?