Whangarei A & P Society Farm Intern Programme 2021 Information and Application form
This form is for potential applicants for our Farm Intern Programme. If you would like more information about the course; just put your name and email address in the form below.

If you would like to apply for a place on the programme, please complete this form which will take less than 10 minutes to fill out.

There are no 'trick' questions, or questions that will automatically rule you out of the programme, so please be as honest as possible!
Email Address *
Date of Birth
Home Address
Home Phone Number
Mobile phone number
Are you currently enrolled with any other School, Provider or Agency? For example High School, North Tec or Work bridge?
Do you have a drivers Licence? *
Do you have use of a vehicle?
If you do not have use of a vehicle, how do you plan to travel to the course or your work placement?
Are there any medical conditions, allergies or injuries we should be aware of?
Do you have a current CV?
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Do you have any other obligations that may interfere with your course or work placement? If yes, please give details.
What qualifications did you gain at school? (a brief summary is fine) If you are yet to complete High school just say what you are working towards completing.
Have you participated in any other training since leaving school? If yes, please give details
Please state your employment history (if applicable)
What would your previous employer or teachers say about you?
How did you hear about this course?
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