Application For Seed, Soil, & Story Permaculture Immersion

Contact Information

First name

Last name

Preferred name (optional)

Pronouns
—Please choose an option—she/herhe/himthey/themEnter other pronouns

Email address

Phone number

Mailing address

Mailing address 2 (optional)

City

State/Province

Zip/Postal Code

Country
United States of AmericaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambia (the)GeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (the)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of North MacedoniaRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Birthdate

How did you hear about us?
—Please choose an option—Social mediaEmail newsletterSearch engineFrom a friend/family memberOther

Sliding Scale

Please select your sliding scale tier based on your pre-tax household income. If somebody can claim you as a dependent on federal income tax filings, use their pre-tax income as your household income.
—— Please select an option ——Under $25,000 ——> $3,023$25,000 – $30,000 ——> $3,162$30,000 – $35,000 ——> $3,302$35,000 – $40,000 ——> $3,534$40,000 – $45,000 ——> $3,767$45,000 – $50,000 ——> $3,999$50,000 – $55,000 ——> $4,232$55,000 – $60,000 ——> $4,464$60,000 – $65,000 ——> $4,650$65,000 – $70,000 ——> $4,929$70,000 – $75,000 ——> $5,208$75,000 – $80,000 ——> $5,487$80,000 – $85,000 ——> $5,766$85,000 – $90,000 ——> $6,045$90,000 – $95,000 ——> $6,324$95,000 – $100,000 ——> $6,603$100,000 – $105,000 ——> $6,882$105,000 – $115,000 ——> $7,161$115,000 – $125,000 ——> $7,440$125,000 – $135,000 ——> $7,719$135,000 – $150,000 ——> $7,998Over $150,000 ——> $8,277
People registering before April 22 will receive a $250 discount, reflected at time of payment.

Short Essay Questions

Please respond to the following questions with one or two paragraphs each.

1. Why are you applying for this permaculture immersion?

2. What are your goals for the immersion? What do you hope to learn and share with your peers and mentors?

3. Please share a book you’ve read recently that you would recommend to others.

4. Is there anything else we should know? (optional)

Open Format Question

You may answer this question in any format you like: essay, story, poetry, visual art, music, audio, video, or a combination of media. We acknowledge that applications like this typically treat essays as a superior form of expression. We consider any medium you use as equally significant, valid, and professional.

Please contact us if you wish to respond to this question with a medium that you cannot send through the internet. Please also contact us if you have multiple files to send or if your file is larger than 7MB.

Given the state of the world, how do you feel about inheriting this world from previous generations?

 
Background context for your submission (optional, but recommended for submissions that are not a form of writing)

If your application is successfully submitted, you will receive a confirmation email. If you don't receive the email, there was an error submitting your application. Please allow the form time to upload your documents.