INFORMATION : (Please complete and return, Print a copy of blank form ).
Your Name (s): ___________________________________________________________
Company Name : _________________________________________________________
Street or P.O. Box # ________________________________________________________
City: ________________ State/ Prov. _______ Zip/Postal_____________ Country _______
Class Number or dates Interested in Hosting from Class Schedule ___________________
Telephone _________________________
Fax Number _______________________
E- Mail __________________________
Applicant must submit a draft of the plan with Application with rough demensions shown with
a final scaled drawing prior to Hosting a class.
Land/Site Description ______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Specifically, I'm interested in assistance with the following : _________________________
________________________________________________________________________
I have or will have electrical power available at the site - yes / no
I have sufficient space for camping location for the students attending a hosted class - yes /
no
A source of water is available for students uses __________________________________
Students would be able to park an RV or other camper vehicle near site - yes / no
I can be ready for a class by __________________________________________________
I am interested in attending a two week class to prepare for the hosting program _________
I have access to plenty of pine logs for my project _________________________________
________________________________________________________________________
________________________________________________________________________
I understand that classes and hosting is to get great start on the preassembly of a log
building _________________________________________________________________
I understand that in hosting a class, that there is no way to know how many students will be
able to attend _____________________________________________________________
I understand that the amount of log work completed by a Log Building Workshop can vary
according to skill and attendance ______________________________________________
I may be interested more in having an instructor assist me privately with the pre-assembly of
my log home project of my log home for two weeks________________________________
I have a place for the instructor to stay while here with the following amenities made available.
My experience with construction is _____________________________________________
________________________________________________________________________
I have available a __________________________________ for lifting and moving logs
around.
I can have all the logs harvested and peeled before a class starts yes / no Please explain
if "no".
I want the School to visit me at my site for a consultation to advise on location and best
approach for conducting a class before making an agreement.
I'll pay for lodging and travel distance allowance of $2.50 a mile (one way) and pay one half
of that before the school departs for a scheduled visit, and the balance upon arrival.
_______________________________________________ (Use MapBlast to figure miles).
The best time for the site evaluation / consultation is _______________________________
__________________________________ ______________________________
printed name date
__________________________________
signed
It is ______________________ miles to my place from Indianapolis ( MapBlast.com) and
a room is available at ______________________________________________________
Phone number _________________________ (of hotel) .__________________________