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Good Earth Farm Application

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					                   Good Earth Farm CSA 2012 Application
APPLICANT INFORMATION

Last Name:                                First Name:                             Date:
Address:
City:                                     State:                                  ZIP
Phone:                                    email address:
Birth date:
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever been convicted of a felony? If yes, explain:


How did you learn about Good Earth Farm?

Position applying for:   Internship        Full-time or Part-time employment      Crew Leader Position has been filled
Approximate date you are available to start working on the farm:
Are you able to stay on until the end of the season in mid-November?
If not, what is the approximate date you need to be done working on the farm?
Since food is a big part of life on the farm and some meals are provided, please tell us if you have any dietary
restrictions: Vegetarian, Vegan, Gluten-free, Kosher, allergies, etc.

Do you have any physical limitations or allergies? Such as back problems, hay fever, etc.


Describe what you are currently doing: work, school, activities, etc.

Please describe your work history and working style in the next few questions:
Have you ever done physical work?                             Can you lift 50 lbs.?
What kinds of work have you done?

Do you prefer to work alone, or as part of a team? Are you often a leader or do you work better as one of the team
members?

Describe your experiences with growing food, if any. Have you worked on a farm before? Started a garden? Tell us
about it.

What are your hobbies and interests?

Do you have any special skills including, but not limited to, agriculture?

Why are you interested in working at Good Earth Farm?

For Interns: What do you hope to learn and/or gain by working in small-scale agriculture at Good Earth Farm?

What is your favorite vegetable?
REFERENCES Please list three references: professional, academic, or personal

Name                                                   Relationship
Company or School if applicable
Phone                                                  email address
Name                                                   Relationship
Company or School if applicable
Phone                                                  email address
Name                                                   Relationship
Company or School if applicable
Phone                                                  email address


Thank you for your interest in Good Earth Farm.


Nicole & Joe Schauer



Good Earth Farm CSA
W8965 Oak Center Road
Oakfield, WI 53065
920.583.2121
farmers@goodearthfarm.net
www.goodearthfarm.net

				
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