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 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 $1.50 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) .