Permaculture Teacher Training for Women • August 21 – 26, 2016

Program Faculty: Lisa DePiano, Pandora Thomas & Guests

Tuition: $745

Tiered Pricing Available: $820/$745/$670/$595 See eOmega.org for details.

Dear Applicant,

The Omega Center for Sustainable Living (OCSL) is excited to host this innovative and unique Permaculture Teacher

Training for Women. Please complete the following application and return to:

Lauraw@eomega.org cc omegateacherstraining@gmail.com with subject: Permaculture Teacher’s Training - Name of Applicant

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Fax: 845-266-9617 with subject: Permaculture Teacher’s Training - Name of Applicant

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Omega Institute – Permaculture Teacher’s Training (OCSL)

150 Lake Drive

Rhinebeck, NY 12572

Eligibility: Participants must be 18 or older to attend this course. This training is open to Permaculture Design

Certificate (PDC) graduates who identify as women and/or were assigned female at birth.

NOTE: Submitting an application does not register you for the course. When an application has been received, we will

send you a confirmation email. Applications will be reviewed upon receipt.

Once you have been notified of acceptance, you will have two weeks to call and confirm your intention to attend the

course and pay a $300 deposit to hold a space in the program. Payment in full must be received no later than July 29,

2016.

For logistical questions about the program or application process, please contact Laura: 845-266-4444 ext. 377

Lauraw@eomega.org. For inquiries about housing options and general information about Omega Institute, please

contact our registration team at 800-944-1001 (US) or 845.266.4444 (International). Program faculty can be reached

at omegateacherstraining@gmail.com.

Sincerely,

Omega Center for Sustainable Living

Permaculture Teacher Training for Women Honoring the Principle of Diversity

Application Form

Permaculture Teacher Training for Women • August 21 – 26, 2016

Program Faculty: Lisa DePiano, Pandora Thomas & Guests

Tuition: $745

Tiered Pricing Available: $820/$745/$670/$595 See eOmega.org for details.

All questions (including personal statement) must be completed for this application to be valid.

Please type or print clearly.

Applicant Information:

Name:

Address:

City: ___State: _______ Zip: _____________

Phone (work/home) (cell) ___________________

Email: ____________________________________________________Nationality: ____________________________

Occupation: _______ Employer/School: _______

How did you hear about this program? _________________________________________________________________

Age: (Optional) ____18-25 ____26-34 ____35-45 ____46-59 ____60-69 ____70 and

over

Ethnicity: (Optional) ____American Indian/Alaska native ____Hispanic/Latino

____Asian/Pacific Islander ____White/Caucasian

____Black/African American ____Multi-ethnic

____Other, please specify____________________________________________

Personal Statement: In addition to the previous information, the following questions will help our faculty in their

preparation for the group. Please type or write your responses clearly on a separate page. (1-2 pages maximum)

1. Please list the details for the Permaculture Design Certificate (PDC) course you completed:

a. Where did you take it?

b. When did you complete it?

c. Who was the certifying instructor(s)?

2. Please share with us what you have been doing with permaculture since you took your PDC course.

3. Why are you interested in taking a permaculture teacher’s training course?

4. What aspects of permaculture are you drawn to? What topics or courses are you interested in teaching?

5. How do you see yourself applying what you learn after the teachers training?

6. How would you like to further the inclusion and support of women and others with diverse backgrounds

through your work after this course?

Signature: Date: _____