GFF Fonterra Dairy Farm Trainer Application Form
01
Dairy Farm Trainer Information
02
Farm Details
03
Student Accommodation
04
Health, Safety & Wellbeing
05
Community References
06
Additional Information
First name
*
Last name
*
Email address
*
Phone number
*
Address
*
Role on the farm and year/s in current role
*
Qualifications
*
Are you an owner operator?
*
Yes
No
Farm name
*
Farm shed address
*
Size of farm and gradient
*
Number of people employed on farm
*
Casual employees used?
*
Yes
No
Herd size
*
Shed type
*
Farm System Classification (e.g. 1-5)
*
Select an option
1
2
3
4
5
Modes of transport used on farm
*
2 Wheel
ATV
Side-by-side/LUV
4X4 Vehicle
Tractor
Horse
Please tick all applicable
What will be the students main vehicle on farm?
*
Farm source rep
Is there accommodation for the student on farm?
*
Yes
No
Does the workplace have a current written Health and Safety Policy?
*
Yes
No
Have you ever had any notifiable events in the past five years?
*
Yes
No
Have you ever had or have pending any notices/warnings/prosecutions by Worksafe?
*
Yes
No
Does this farming business operate using Safe Work Procedures?
*
Yes
No
The GFF Policy states all students must wear helmets at all times operating an ATV, LUV, 2 wheeler and horses. Do you have a helmet for the student to use that meets minimum standards?
*
Yes
No
GFF requires all Farm Trainers, and anyone sharing accommodation with the student, or working closely with to be police checked. Do you agree to this?
*
Yes
No
Please provide two references from within your community to support your application. By entering referee contact details you are giving permission for Growing Future Farmers and potential Dairy Farm Trainers to contact these referees and discuss your suitability for joining the Growing Future Farmers programme.
Full name
*
Relationship to you
*
Contact details
*
Full name
*
Relationship to you
*
Contact details
*
Have you been a part of or involved in a learning programme like this previously?
*
Yes
No
I declare that the information provided in this registration form is accurate and correct.
*
Yes, I want to subscribe to the newsletter.
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