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* 1. Thank you for interest in the 2017 HABESHA Works Program. HABESHA Works begins on April 5, 2017. Please complete the following personal information.

* 2. What is your age?

* 3. What is your ethnicity?

* 4. What interests you about the HABESHA WORKS Training Program? (click all that apply)

* 5. Describe any previous experiences that you may have with gardening, landscaping, or farming (if any).

* 6. Are you interested in pursuing career opportunities in urban agriculture?

* 7. Do you have any health conditions that will prohibit you from working in rigorous physical outdoor activity under a variety of weather conditions?

* 8. With your current mode of transportation, are you able to participate fully in course activites as well as complete independent assignments/projects outside of scheduled class time (6-8 hours/week)?

* 9. How did you hear about HABESHA Works?

* 10. WE HAVE LIMITED PARTIAL AND FULL SCHOLARSHIPS AVAILABLE BASED ON FINANCIAL NEED.  IF YOU ARE INTERESTED IN APPLYING FOR A FULL OR PARTIAL SCHOLARSHIP, PLEASE ANSWER THE FOLLOWING QUESTIONS.


What is your annual household income?

* 11. Number of Related Persons in Household?

  1 2 3 4 5+
Adults
Children

* 12. If given a scholarship, are you willing to complete 30 hours of volunteer time over the 14-week course?

* 13. Your participation in a orientation session is required for your consideration. Please indicate which session you will be able to attend. Sessions will be held at Omenala Griot Museum located at 377 Dargan Pl. Atlanta, GA 30310 from 6-8PM.

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