Vets on the Farm - Intern application
The purpose of this form is to help match Veterans to farming and related agriculture internships  that will be interesting and useful based on Veteran’s experience and goals. This information will not be shared outside of the program.
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First and Last Name
Address
Last 4 SSN
Email address
Phone
Are you able to provide a DD-214?
Clear selection
Did you service include combat, dangerous or traumatic assignments?
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In which branch of the military did you serve?
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Dates of Service
What was your occupation in the military?
Overall, how do you view your experience in the military?
Are you enrolled in the VA?
Clear selection
Do you have a service-connected condition?
Clear selection
Will you require accommodation in order to complete your internship?
Clear selection
If you answered YES, please describe what the accommodation required to make your internship successful:
Describe your goals for participating in this program. Are there  areas of agriculture you are interested in learning? What do you hope to accomplish by participating in and completing the internship? Additional page attached if needed.
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