application form 1

    Your Name*

    Email*

    D.O.B*

    City*

    State/County*

    Country*

    Zip/Post Code*

    Contact Number*

    About Your Permaculture Design Course

    Date Completed (mm/yy) *

    Location/Venue of your PDC*

    Your Teachers Names *

    How have you applied Permaculture Design since your course?*

    How do you think the Permaculture Diploma will help you?*

    What Fields of Practice do you wish to engage in?*

    Seeking scholarship funds to offset fees? Please explain your situation of need.

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