Name *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *School *Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Show GuardianYesNoLegal Guardian Info(required if you are under 18)Guardian/Parent Name *FirstLastGuardian/Parent Cell Phone *Guardian/Parent Home Phone *Guardian/Parent Email *Experiential Learning OpportunitiesThere are a number of ways to be involved with the Greenagers Farm Apprenticeship program. Please provide as many options as possible to increase the likeliness of finding the right fit for you.Type of Employment You Are Seeking *Position paid by the hourPosition paid by weekly stipendUnpaid internshipI would ONLY like to participate in farm tours and workshopsAvailabilityStart DateEnd DateMinimum Hours per WeekMaximum Hours per WeekQuestionsWhat is your past work experience?Optional: attach a résumé if you have onePDF, DOC, DOCX, RTF files acceptedOther than enjoying the outdoors, why do you want to work with Greenagers?What skills do you bring to the job? What skills do you hope to learn?If you have worked for Greenagers in the past, how do you hope to improve this year?What type of farming are you most interested in? Is there a particular farm you would like to work with?Please share your thoughts on the connections between farming and our community.(use as much space as you need)NameSubmit Application
