Applicant Information

    Applicant Name:

    Email:

    Phone:

    Country:

    Questions

    1. Why do you want to start a Bush School?

    2. a) Where will it be located?

    Address/Village:

    Province:

    Country:

    2. b) Tell us more about the village, including details about the current education situation:

    3. Is the Bush School located in a remote area?

    YesNo

    Please provide details:

    4. Does the Bush School location operate on a cashless/barter system?

    YesNo

    Please provide details:

    5. a) What is the nearest major town or city?

    5. b) How far is it from the intended Bush School location?

    6. What methods of transportation exist to/from the Bush School location?

    7. Do you have approval from the village elders to start a Bush School?

    YesNo

    8. Are the leaders of the village prepared to provide a place for the school to operate (land, hut, some shelter/protection)?

    YesNo

    Please provide details:

    9. Who is the village elder or contact person?

    10. Have you identified a ‘Supervisor’ for the Bush School?

    YesNo

    Please provide details / name:

    11. Is the village prepared to support the Bush School ‘Supervisor’?

    YesNo

    Please provide details:

    12. What level of education or qualifications has the ‘Supervisor’ completed?

    13. Does the ‘Supervisor’ have a background or experience using A.C.E. material?

    YesNo

    Please provide details:

    14. If approved, when do you want to start a school?

    15. Do you have any other information to add?

    Required Photos

    Location/Village Photos

    Supervisor/Team Photos

    Supporting Documents (optional)