Santa Barbara Water Harvesting Apprenticeship Application Survey

Question Title

* 1. Please enter the following information about yourself.

Name: *

Organization/Affiliation:

Address: *

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Skills (check all that apply)

Please rate 0-3 for each of the following. 0 = no experience, 1=little experience, 2= some experience,
3 = extensive experience

	No experience	Little experience	Some experience	Extensive experience
Using hand tools	Using hand tools No experience	Using hand tools Little experience	Using hand tools Some experience	Using hand tools Extensive experience
Using power tools	Using power tools No experience	Using power tools Little experience	Using power tools Some experience	Using power tools Extensive experience
Plumbing work	Plumbing work No experience	Plumbing work Little experience	Plumbing work Some experience	Plumbing work Extensive experience
Percolation tests	Percolation tests No experience	Percolation tests Little experience	Percolation tests Some experience	Percolation tests Extensive experience
Determining slope	Determining slope No experience	Determining slope Little experience	Determining slope Some experience	Determining slope Extensive experience
Site assessments	Site assessments No experience	Site assessments Little experience	Site assessments Some experience	Site assessments Extensive experience
Developing site plans	Developing site plans No experience	Developing site plans Little experience	Developing site plans Some experience	Developing site plans Extensive experience
Creating water budgets	Creating water budgets No experience	Creating water budgets Little experience	Creating water budgets Some experience	Creating water budgets Extensive experience
Rock work for slopes to reduce erosion	Rock work for slopes to reduce erosion No experience	Rock work for slopes to reduce erosion Little experience	Rock work for slopes to reduce erosion Some experience	Rock work for slopes to reduce erosion Extensive experience
Plant selection for native and food producing plants	Plant selection for native and food producing plants No experience	Plant selection for native and food producing plants Little experience	Plant selection for native and food producing plants Some experience	Plant selection for native and food producing plants Extensive experience

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* 3. Background/Profession (check all that apply)

Are you a(n)?

Architect/Landscape Architect

Landscaper

Builder

Plumber

General Contractor

Engineer

Hydrologist

Environmental Educator

Natural Resource Manager

Permaculture Designer

Building Official

Other (please specify)?

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* 4. Experience (check all that apply)

I have installed….

a greywater system in my home

a greywater system(s) professionally

a cistern (plastic, ferrocement, or steel) at home

a cistern professionally

residential earthwork features (basins, berms, swales)

commercial-scale earthwork features

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* 5. Related Trainings (check all that apply)

Have you attended previous trainings with:

Art Ludwig

Brad Lancaster

Ocean Friendly Gardens/G3

Greywater Action

ARCSA

Other Relevant Training (please specify in box below)

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* 6. Use of information

How do you hope to apply the information you learn in this course? (check all that apply)

Watershed/natural resource management

Urban planning/stormwater management/Low-Impact Development

Residential landscaping

Commercial landscaping

New construction

Green retrofits

Educational program

Community-based conservation

Workshop Instruction

International development

Permit processing or inspection

Hobby to share with others

Other (please specify)

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* 7. Are you interested in being considered for a workshop instructor position with WMG for the Santa Barbara Green Living Co-op?

Yes

If Yes, please explain.

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* 8. Please list anything you would like to learn regarding water harvesting design and implementation that could be covered in this course.

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* 9. Do you have any dietary preferences or restrictions?

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* 10. Will you be able to attend the entire apprenticeship training?

Yes

If not, please specify

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* 11. We can offer work trade agreements (up to $400) to defray some of the cost of
the course for participants. If you would like to be considered for work trade, please explain your interest and availability to fulfill this commitment.

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* 12. The course will include hands-on physical activities and may be strenuous at times. Please indicate any physical limitations so WMG may accommodate them.

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* 1. Please enter the following information about yourself.

Question Title

* 2. Skills (check all that apply)Please rate 0-3 for each of the following. 0 = no experience, 1=little experience, 2= some experience,3 = extensive experience

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* 3. Background/Profession (check all that apply)Are you a(n)?

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* 4. Experience (check all that apply)I have installed….

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* 5. Related Trainings (check all that apply)Have you attended previous trainings with:

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* 6. Use of informationHow do you hope to apply the information you learn in this course? (check all that apply)

Question Title

* 7. Are you interested in being considered for a workshop instructor position with WMG for the Santa Barbara Green Living Co-op?

Question Title

* 8. Please list anything you would like to learn regarding water harvesting design and implementation that could be covered in this course.

Question Title

* 9. Do you have any dietary preferences or restrictions?

Question Title

* 10. Will you be able to attend the entire apprenticeship training?

Question Title

* 11. We can offer work trade agreements (up to $400) to defray some of the cost ofthe course for participants. If you would like to be considered for work trade, please explain your interest and availability to fulfill this commitment.

Question Title

* 12. The course will include hands-on physical activities and may be strenuous at times. Please indicate any physical limitations so WMG may accommodate them.

Question Title

* 13. How did you find out about the Water Harvesting Apprenticeship course?

* 2. Skills (check all that apply)

Please rate 0-3 for each of the following. 0 = no experience, 1=little experience, 2= some experience,
3 = extensive experience

* 3. Background/Profession (check all that apply)

Are you a(n)?

* 4. Experience (check all that apply)

I have installed….

* 5. Related Trainings (check all that apply)

Have you attended previous trainings with:

* 6. Use of information

How do you hope to apply the information you learn in this course? (check all that apply)

* 11. We can offer work trade agreements (up to $400) to defray some of the cost of
the course for participants. If you would like to be considered for work trade, please explain your interest and availability to fulfill this commitment.