(845) 750-6476 464 West Kerley Corners Road Tivoli, NY 12583 www.commonfire.org info@commonfire.org

HUDSON VALLEY HOUSING CO-OP

RESIDENT/MEMBER APPLICATION

Feel free to type or handwrite.

Preferred name (first and last):

Are you applying with someone else? No Yes:

E-mail (if you have one):

Preferred phone: home cell work

Backup phone (if you have one): home cell work

Address:

If you expect you would be living in the co-op for less than 2 years, please indicate how

long you think you would stay:

How did you learn about the co-op?

Please answer all of the following questions. Please limit your answers to the space provided (the dashed lines show the suggested maximum length), though you may write more on another page if you feel it’s important. Have fun and thanks for applying!

1) What most attracts you to living in the housing co-op? (7 lines)

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2) What are your plans for the time you’d be living in the co-op, or for the first six months anyway? (5 lines)

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3) What are some of the issues in the world that you care most passionately about and how is this reflected in your life? (9 lines)

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4a) What are some of the things in your life that are important to sustaining your happiness, health, balance, peacefulness, etc.?

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b) Is there anything you would need from your housemates to be happy?

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5) What experience do you have living with other people? What have been some of the challenges and benefits of living with other people?

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6a) What might be the most challenging thing for you in living in this co-op?

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b) What can you or your housemates do to help you overcome this challenge?

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7) How would you expect to be able to pay your portion of the monthly co-op costs?

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8) Please share with us some of the ways in which you believe you would bring a unique set of values, perspectives, skills, and experiences to the co-op.

You may wish to address any, or all, or none of the following: age, education/work/volunteer/

activist/travel experience, ethnicity, financial/class background, gender identity, hobbies/talents/

interests, nationality and/or regional background, physical/psychological challenges, political affiliation, religious affiliation, sexual orientation.

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9) Is there anything else you’d like us to know about you? (Please feel free to say no!)

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Jeff Golden

2005-08-30

Jeff

Common Fire Foundation