Permaculture Design Course Student Questionnaire
Answering these questions helps us begin to get to know you, why you are taking this course, and how you will be utilizing what you learn. We will use this information to build a program to help meet your educational needs. Our permaculture design course meets or exceeds the 72 hour student contact and content requirements for certification. Please be thorough with your responses and submit this form as soon as possible before the course.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about this course?
Bio in 200 words or less - Tell us about you!
Profession
Hobbies/Interests
Community involvement/affiliations
What context do you live in?
Please Select
Urban/Suburban
Semi-rural
Rural
Logistics
Occasionally we have students or teachers that need lodging overnight during our course weekends.
Will you need lodging?
Please Select
Yes
No
Can you offer lodging?
Please Select
Yes
No
Many of our class locations have limited parking. Are you willing to carpool?
Please Select
Yes
No
Course Information
Is this your first permaculture design course?
Please Select
Yes
No
If you answered NO above please tell us where you took your other PDC(s).
Please tell what your understanding of permaculture is.
What permaculture related topics interest you the most?
What do you hope to take away from this course?
How do you plan to use what you learn from taking this permaculture design course?
Anything else we should know about you? (Allergies, challenges, anything that might hinder your participation)
Submit
Should be Empty: