Iowa City Cohousing Membership Application
Personal information
Your name:
Your answer
Your address:
Street, city, state, zip
Your answer
Home phone:
xxx-xxx-xxxx
Your answer
Cell phone:
xxx-xxx-xxxx
Your answer
Occupation:
Your answer
Employer:
Your answer
Do you currently own your home or rent?
Information about your household
Names and ages of children and/or others living with you:
Your answer
Does anyone in your household have special needs? Please let us know how we can help accommodate them.
Your answer
Do you have pets? What kind?
Your answer
Your interest and experience with community life
What is your interest in community living?
Your answer
Have you lived in a community setting before? If so, please describe.
Your answer
Are you comfortable with our community values?
To learn more about our values, see http://iowacitycohousing.org/values/index.html.
We are actively recruiting families with children. How do you see children in your life?
Your answer
Have you worked in consensus-based groups? If so, please briefly describe your experience.
For more information on the consensus process, see http://www.cohousing.org/cm/article/whyconsensus.
Your answer
Your participation in the life of Prairie Hill
In what ways can you imagine yourself participating in the life of the community?
Your answer
Which committees are you interested in joining?
Do you intend to live in the community year-round?
If not, how will you sustain a participatory role in the community from afar?
Your answer
Do you have family members or friends who visit for extended periods?
If so, have you thought about how they might participate in the life of the community?
Your answer
What are some of the resources or skills you will bring to the community?
(Skills, hobbies, talents, character traits, experiences…)
Your answer
What are you most looking forward to about living at Prairie Hill?
Your answer
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