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Snakeroot Organic FarmApprentice Information FormLois Labbe & Tom Roberts,
3645 Snakeroot Road, Pittsfield ME 04967, ph. (207) 487-5056
APPRENTICE APPLICATION You can either print this out, or hit reply and fill in the blanks. Name:__________________________________________ Age_____ M/F________ Address:_______________________________ Phone:(____)________________ ___________________________________ E-Mail:________________________ Best time to be reached:_________________________________________ How did you hear about our farm?___________________________________ Permanent Address:___________________ Permanent Phone:(___)________________ What is the time period during which you will be available to apprentice? __________________________________________________________ Are you seeking in-depth organic agriculture training, or are you looking for an interesting summer job? ___________________________________________________________________ Describe the type of farm experience and skills in which you are most interested. Please mention at least three specific areas of interest. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ What are your goals in becoming a farm apprentice? Afterwards? ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ What do you perceive will be your reaction to living and learning with new and unknown people in a rural area. ____________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Please list any schools you have attended, degrees and/or major areas of study or training. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Provide a list of your work experience, both paid and volunteer. ___________________________________________________________________ ___________________________________________________________________ Is the receipt of a modest stipend crucial to your ability to become an apprentice? Explain: ____________________________________________________________________ Will you be able to make a visit to our farm? If so, when? ___________________________________________________________________ Please comment on the following and add any other considerations that are important to you: Smoker Non-Smoker Diet (vegetarian? other?)___________________________________________ Will you eat meat raised locally? Yes No Transportation?_______________________ Drive Stick Shift?___________ Tractor?__________ Medical: Are you taking any medications? Yes No If yes, what?____________ Any physical limitations? Yes No If yes, what?__________________ Allergies? Yes No If yes, what?_____________________________________ Emotional/psychological problems? Yes No If yes, what?______________ Other considerations:_______________________________________________ ____________________________________________________________________ Special Interests:__________________________________________________ ____________________________________________________________________ Strong ideological views (political, religious, feminist, etc.): ____________________________________________________________________ Please list three interesting things about yourself: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Please list three things you want people to know about living with you: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Please return this application to us as soon as posible so we can make an appropriately early decison. Lois Labbe & Tom Roberts, 3645 Snakeroot Road, Pittsfield ME 04967, ph. (207) 487-5056 |
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