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Apprentice Application: Part 1 of 2

Please fill out as many questions as possible

First Name:
Last Name:
Age:
Gender: Male Female

Address
Street/Apt:
City: Province: Postal Code:

Phone (with area code):

E-Mail:

How did you hear about this program?

Time period during which you are available:

From:
Day Month Year

To (inclusive):
Day Month Year

Have you worked on a farm or in agriculture?

Please explain the type of farm experiences and skills that are of interest to you:

What are your goals in becoming a farm apprentice?

Afterwards?

How do you think you will feel living with different people in a new and unknown rural environment?

If necessary, are you willing to share accommodations with the farm family or other apprentices?

No Yes

Comments:

If you wish to apprentice as a couple or family, please explain below:

Please provide a brief summary of your background including practical work experience, formal education, and any relevant training you may have:

Do you require a wage or allowance in order to apprentice?
No Yes

If so, please explain:

Will you be able to make a visit to the farm of the person with whom you may wish to apprentice?
No Yes

Comments:

Please comment on the following and add any other considerations which are important to you:

Smoker/Non-Smoker?
Yes No

Diet (Vegetarian? other?)

Allergies?

Medical needs/mental or physical disabilities?

Transportation needs?

Strong desire to be near a town?
Yes No

Comments:
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Hobbies?

Strong ideological views (political, religious, feminist)?

Any other thoughts, hopes, ideas, aspirations, considerations, comments?

Please give a reference name of someone who you have had experience with in a work environment, position, phone, and email the farmers can contact if they wish:

Which farms interest you? Please enter the Zone (e.g. Vancouver Island and Gulf Islands, Thompson Okanagan and Maritimes) and Farm Number below to a maximum of 5 farms (you need to enter at least one).
Farms (opens in a new window)

1) Zone
Farm Number
2) Zone
Farm Number
3) Zone
Farm Number
4) Zone
Farm Number
5) Zone
Farm Number

How will you be paying the $30 membership fee?
Note: We will be unable to process your application until we recieve this payment.

Cheque Money Order PayPal (Credit Card)

When will your membership fee be sent to us by?
Day Month

Please complete all fields, submit this form and continue to Part 2, Payment.