Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Preferred Personal Pronoun
He
She
They
Email
*
Phone
*
(###)
###
####
Permanent Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
(###)
###
####
Relationship to applicant
*
What intrigues you most about farming/agriculture? Why are you interested in visiting us?
*
How did you become interested in farming?
*
What are you hoping to learn and do during your stay?
*
Where do you want to be 5-10 years from now?
*
As a member of a crew, how will you help the group work well together?
*
Do you have any experience resolving group or personal conflict? Can you talk about a time when you helped to resolve a conflict?
*
What do you do to restore your energy and maintain a positive attitude?
*
Do you have any concerns about sharing space with other workers?
*
Do you have previous work experience? If so, what job(s) did you enjoy the most?
*
What skills do you have, agricultural or otherwise?
*
DAre you able to make a full season commitment from our agreed-upon starting date through the end of October?
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Yes
No
Do you have any transportation needs for arrival/departure? Do you have a current driver's licence?
*
Do you have: (this information will be kept confidential)
*
A “yes” is probably not disqualifying, it’s just something we should talk about.
If you answered "Yes" to previous questions a) or b) please clarify
Do you smoke tobacco?
*
Yes
No
Do you have any dietary restrictions (e.g. food allergies, vegetarian, vegan, gluten-free, dairy-free, etc.)?
*
Do you have experience cooking for yourself?
*
Have you ever lived off the grid or out of cell reception before? Do you have any concerns about this?
*
It is important that our home remain a safe space for people identifying as queer and/or transgender, as well as a supportive space for women and people of color to learn freely. Do you anticipate any problems with this?
*
Please tell us something interesting about yourself (hobbies, pasttimes, travels etc.).
*
Do you have any questions for us?
Please provide us with three references, two professional and one personal
*
