Request edit access
Second Level herb class
Application deadline February 28. I don't send confirmation emails saying I got your application, but if you're worried about it, shoot me an email. I'll be getting back to folks early March about whether you're in the class or not. Thanks so much for applying!!
Email address *
Name
Your answer
Phone number
Your answer
What's your experience with herbal medicine?
Your answer
Who is your community and how could you imagine using herbs to strengthen that community?
Your answer
What is your racial background (we are intentionally working for a racially diverse class)
Your answer
What are you hoping to get out of this course?
Your answer
What community organizing / group work skills do you bring to this class?
Your answer
I can offer scholarships to people of color with financial need, bringing the cost of the class down to $250. Would you like one?
Do you have any accessibility needs? I'll try my best to accommodate them, but my resources are limited.
Your answer
Anything else you'd like me to know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service