ABT Housing Coop Member Application
return to Joe Werle 332 N. Arsenal 46201 or attach to email to jwrp@earthlink.net

Your name, contact information. How you prefer to be contacted



Your age?

Marital/ relationship status?

Current employment, its positive and negative impact on you?



When can you participate in further exploration of the housing coop concept?

    Days?          Nights?         Weekdays?        Weekends?


What is your level of interest? Circle one

    Highly interested              Somewhat interested                 Just curious

If you were to volunteer to help promote or develop the Coop what areas would you be best at?


And are you willing to help work to build ABT Housing and Business Coop? Circle one

    Yes                Maybe            Not yet

The following questions can be answered in more detail on the reverse side of this page.
1. Do you have individual business plans or projects in mind for the community? How do you feel about working together economically to facilitate community self-reliance?

2. Do you have present or past experiences with making fair, participatory group decisions? Please explain:

3. What are your thoughts on building a community where the emphasis is to create a human settlement working cooperatively with ourselves and with the biosphere?

4. Have you ever been convicted of a crime?

5. Are there any physical, emotional or cultural limitations that may effect how you function within the Housing Coop or that we should otherwise be aware of?