I want to participate in building at Aardehuis-project
  1. Name:*
    Please fill in you Name, Firstname and Lastname
  2. Address:*
    Please fill in your address
  3. Zipcode:
    Please fill in your Zipcode
  4. City:*
    Please fill in your City
  5. E-mail:*
    Please fill in a valid E-mail address
  6. Country:*
    Please fill in your Country
  7. Phone number:*
    Please fill in you main Phone number
  8. Phone number 2:
  9. Date of birth:*
    Please fill in your date of Birth, it is required.
  10. Current employment or study:
    Please fill in your current employment or study
  11. Work experience; DIY- or building experience that could be useful for building Earthships: *
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  12. First Aid; Have you done a first aid course or additional refresher courses in the last year?
    Vul ja of nee in svp
  13. Have you done any courses for “emergency response” in a work-environment in the last year?
    Vul ja of nee in svp
  14. Motivation; Can you tell something about your motivation to help building the Earthship-village?
  15. For the safety of you and those around you on the building site it is important for us to know if you have any medical problems. We will respect your privacy and treat this information carefully and confidentially.
  16. How did you hear from us?
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  17. Thank you for completing this form.
  18. Type the left text in the box*
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