Scholarship Application for PDC Course~2010
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1. Application Info.

We have a limited amount of scholarship funds from CHEARS, a non-profit focused on education, arts, and research in the Chesapeake Watershed to distribute amongst the PDC participants. The criteria for scholarship selection are (1) demonstrated financial need; (2) a resident of the Chesapeake Watershed; and (3) application of the permaculture design certificate within your communities.

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1. Full Name:

Full Name:

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2. Address:(include city/town, state, and zip)

Address:(include city/town, state, and zip)

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3. Email Address:

Email Address:

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4. Phone Number(s):

Phone Number(s):

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5. If employed, your current organization/business name, address, contact person name & info. If not currently employed, past employment and contact info.

If employed, your current organization/business name, address, contact person name & info. If not currently employed, past employment and contact info.

Scholarship Application for PDC Course~2010Exit this survey

1. Application Info.

*1. Full Name:

*2. Address:(include city/town, state, and zip)

*3. Email Address: