APPLICATION
Quaker House Residential Community (QHRC)
Contact: Resident Host, qhrc_apply@umich.edu
(734) 846-6545 annarborfriends.org
Name:
___________________________________________________Application Date: _______________________
Phone:
________________________________ Email:______________________________________
Mailing
Address: _______________________________________________________________________________
Driver’s
License #/State ID: ___________________ Date of Birth: __________________________
Emergency
Contact Info:
Name:__________________________________Relationship:_______________________
Phone:
_____________________________ Email: ______________________________
Address:_________________________________________________________________
The questions below are for you to get to know what we are expecting,
and for us to get to know you. Quakers believe that
there is that of the sacred in every person. In this spirit, we welcome all
people regardless of age, race, differing abilities, gender identity, and
sexual orientation. Please use as much time and space as you need to
express yourself thoughtfully. Feel free to attach a résumé or any other
information that will help us to know you better. Relax and enjoy. It’s not a test. We really enjoy
reading your answers!
1. How did you hear
about the Quaker House Residential Community (QHRC)? Why do you want to
participate?
2.
On what date
would you want to move in? How long would you like to participate in
QHRC?
3. Please describe
your previous experience in group, communal, cooperative or intentional
community living? What aspects do you most enjoy? Find difficult?
4. Please describe
your plans for the upcoming year?
5.
What is your current living situation and why are
you leaving there?
6.
What are your hobbies and pastimes? How do you
spend your free time?
7. What experiences
have you had living with social, cultural or economic diversity? (For example: Gender,
age, race, ethnicity, class, sexual orientation other than your own?)
8. Please describe any experience you’ve had with
Quaker values or worship?
9.
You don’t have
to be a cook when you apply, but when you live here you will need to learn to
cook meals for 6 or more people, once weekly. Please tell us about your interest
and experience in the world of food and cooking.
10. Are you a
vegetarian or vegan? Do you have any
special dietary requirement? Are you
willing to participate in the meal plan and cook with those requirements? What are you food preferences. Dislikes?
Allergies? Please describe.
11. Dinners are held daily at 6:30 PM. Would
you be able to attend at least 75% of
the evening meals? If not, please explain.
12. House Meetings are every Sunday evening at
7:30PM. Would you be able to attend at
least 75% of the house meetings? If not, please explain.
13. Because we
run this place ourselves, living here takes time and energy. One or more of our
housemates are responsible for the following:
13A. What kinds of skills would you bring to the collective? What new
skills would you want to learn?
13B. Are you able to commit the necessary time resources to fully engage in household participation (roughly
8 hrs. weekly)? Please describe both pros and cons.
14. Describe
your communication style? How do others describe your communication style?
Do you consider yourself to be an assertive person? If not, how do you
make your needs and opinions known?
15. How do you
handle stress? What stresses you? (Whatever stress means to you.)
16. Conflict is something you will learn to cope
with as a member of a living community. Please use an example from your
own life about your abilities to cope with and resolve conflict. Responses
along the lines of "I try to get along with everybody" is not what
we're looking for on this one.
17. How do you plan on paying for living
expenses? Do you have a reliable source of income? If so, what
would you do if you lost that source? If you have savings, for what
period of time could you pay for living expenses before going broke?
18. Do you have any physical or medical
conditions that would be helpful to know about? Are you on any medications?
Under a doctors care?
19. What questions
do you have about life at QHRC?
20. Please supply any addition information of
documentation that will help us to know you better.
Work and Housing
References:
This section
must be completed in full for your application to be considered complete.
No personal references please.
Rental/Housing:
1. Contact Person: ___________________ Company: ___________________
Phone: ___________________________
Email: _______________________
Address
Of Rental Unit: ___________________________________________
Dates
You Lived There:___________________________________
2. Contact Person: ___________________ Company: ___________________
Phone:
___________________________ Email: _______________________
Address
Of Rental Unit: ___________________________________________
Dates
You Lived There:___________________________________
Employment
1.
Contact
Person ________________________ Title: ___________________
Company:______________________________________________________
Phone: ____________________________ Email: ____________________
Dates of Employment: _________________ Your Title:
_________________
2.
Contact
Person ________________________ Title: ___________________
Company:______________________________________________________
Phone: ____________________________ Email: ____________________
Dates of Employment: _________________ Your Title:________________