Whangarei A & P Society Farm Intern Programme Expression of interest form
Thank you for your interest in the AP Farm Intern Programme starting in February 2022!

If you would like more information about the course or to make a formal application, please complete this short form. Please note we cannot accept students from outside New Zealand.
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Name: *
Email Address *
Date of Birth *
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Home Address *
Mobile phone number *
Citizenship/Ethnicity
If you have identified as a New Zealand Maori, what is the name of your Iwi? (you can list more than one if applicable)
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 any other obligations that may interfere with your course or work placement?  For example childcare commitments, or a medical condition. If yes, please give details.
How did you hear about this course?
Is there anything more you would like to add?
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