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 a few interesting things about yourself:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Please list a few 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.
Snakeroot Organic Farm, 27 Organic Farm Road, Pittsfield ME 04967
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