Form: Application for a Residential Period

FRM/2003/01 · leaf 1

1. APPLICATION FOR A RESIDENTIAL PERIOD FRM/2003/01✎
2. -----------------------------------------------------------------✎
3. 1 NAME (as you wish to be addressed) ______________________✎
4. 2 HOUSE APPLIED TO ______________________✎
5. 3 LENGTH OF STAY (3 to 12 days) ______________________✎
6. 4 DATES, IN ORDER OF PREFERENCE ______________________✎
7. 5 WHO TOLD YOU ABOUT US ______________________✎
8. 6 DIETARY REQUIREMENTS ______________________✎
9. 7 WORK YOU CAN DO WITH YOUR HANDS ______________________✎
10. 8 WORK YOU WOULD RATHER NOT DO ______________________✎
11. 9 IS THERE ANYONE WHO SHOULD BE TOLD✎
12. THAT YOU ARE HERE ______________________✎
13. 10 IS THERE ANYONE WHO SHOULD NOT ______________________✎
14. -----------------------------------------------------------------✎
15. FOR HOUSE USE ONLY✎
16. Received .......... Read by .......... Entered ..........✎
17. Continuity checked against the Record Y / N / NOT REQUIRED✎
18. Place at table assigned .......... Chair ..........✎
19. -----------------------------------------------------------------✎
20. Notes for the applicant. There is no fee. Guests work four hours a✎
21. day and eat with the house. Rooms are plain and cold in winter. You✎
22. may leave at any hour without explaining yourself; the door is not✎
23. locked from the inside, and a steward will walk you to the road.✎

    Withheld: House page · held by Stewards

FRM/2003/01 · leaf 1 of 1 · end of the printed circular