Wilds Are Working - Host Community Application

Wilds Are Working: Remote Work Experience - Host Application

Please complete this application in order to be considered as a Host Community for the Wilds Are Working: A Lifestyle Experience for Remote Workers program. Applications due by 5 PM on December 15, 2023.
General Information
Your Name*

First NameLast Name
Name of your organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Which community in the PA Wilds do you represent for hosting a Remote Work Experience ?*
Are you submitting this application as the identified Community Lead Organization (CLO) for your community?*

Yes - my organization would serve as the Community Lead OrganizationNo - my organization would not serve as the Community Lead Organization
If your organization will not be the Community Lead Organization (CLO) to spearhead this project, has a CLO been identified?*

Yes - a Community Lead Organization has been identifiedNo - a Community Lead Organization has not been identified
Does your identified CLO have staff or volunteers that are able to dedicate time to project management, including program set up time, application management, coordination of a welcome committee and local events, and more?*

YesNo

Tell us about your community
Does your community offer a minimum of 5 suitable accommodations for long-term workers (e.g. lodging that includes full kitchens, Wi-Fi, and ample living space)?These can include local vacation rentals and bed & breakfast properties, but should not include franchise or chain hotels.*

YesNo
Do lodging establishments identified in your community offer access to high-speed internet?*

YesNo
Is access to high-speed internet available in public spaces in your community?*

YesNo
Does your community have a defined coworking space that provides high-speed internet and space for guests to work outside of their lodging?*

Yes, we have a defined coworking space in our community.No, we do not have a defined coworking space in our community - but we are willing to find a space and pilot one during this program, if selected.
Please describe a suitable space you envision using as a coworking facility and the amenities that would be available, if for the previous question you answered "No, we do not have a defined coworking space in our community - but we are willing to find a space and pilot one during this program, if selected."*
Does your community receive mobile phone reception for a variety of carriers?*

YesNo
Which of the following amenities are offered in your community? Select all that apply.*

Coworking SpacesCoffee shopsParksRestaurantsNightlifeMust-see AttractionsShoppingFarmers MarketsHikingBikingWater RecreationCampingFishingBird WatchingOther
Approximately how many Wilds Cooperative of PA (WCO) members are currently located in your community?*

Less than 56-1010-20More than 20
Not sure how many WCO members are already in your community?

Check our directory here and enter your community's name in the search box at the top of the map or use the filter for your county.
If your community has less than 15 businesses participating in the Wilds Cooperative of PA, can you commit to helping businesses join the program?

Yes - I will help get businesses to join the Wilds Cooperative.No - I am unable to help businesses join at this time.
Which month would you like to host the remote workers? Rank the options below by reordering them based on preference, as applicable.*
Can your community commit to matching funds for this project? Match amount will be between $5,000 and $8,000 and must be cash (in-kind donations are welcome to enhance the project, but cannot be counted toward the match)*

Yes, and we have already secured the match.Yes, we are in the process of securing the match.No, we cannot commit to securing a match.
In a sentence or two tell us why your community is a good fit to host this program?*
Community Lead Organization Responsibilities + Expectations Summary
Does your community and the identified CLO understand and agree to the roles and responsibilities as outlined in the CLO summary document above?*

Yes, we've read and understand the roles and responsibilitesNo, we have not read the document.
Should be Empty:

Wilds Are Working: Remote Work Experience - Host Application

General Information

Tell us about your community

Not sure how many WCO members are already in your community?