Growing Future Farmers

First name^*

Last name^*

Email address^*

Phone number^*

Address^*

Date of birth^*

Gender^*

Ethnicity^*

Iwi

Please rank your preferred region in order of preference of where you would like to be placed (1 - 10)

Waikato^*

King Country^*

Gisborne/Wairoa^*

Hawkes Bay^*

Lower North Island^*

Taihape^*

Upper South Island^*

Mid South Island^*

Taranaki^*

Lower South Island^*

Do you hold a current drivers licence?^*

Yes

No

If you can drive a manual vehicle, please describe your experience

Do you hold a current firearms licence?^*

Yes

No

Have you ever been convicted of a criminal offence included traffic offence (excluding parking fines)?^*

Yes

No

Please identify your hobbies, interests, sports etc:^*

Are you still at secondary school?^*

Yes

No

Please include all Year 11, 12 & 13 subjects and credits achieved^*

Please include employer(s) name, period employed and duties performed^*

Do you have any learning difficulties where you may need extra learning assistance ie, dyslexia, attention difficulties, dysgraphia, dyspraxia or other?^*

Yes

No

Please enclose two written references with your application. By entering referee contact details you are giving permission for Growing Future Farmers and potential Farm Trainers to contact these referees and discuss your suitability for joining the Growing Future Farmers programme.

Reference #1^*

School

Employer

Full name^*

Postion^*

Phone^*

Email^*

Business / School name^*

Written reference^*

Max 5MB

Reference #2^*

School

Employer

Full name^*

Postion^*

Phone^*

Email^*

Business / School name^*

Written reference^*

Max 5MB

By entering parent contact details you are giving permission for Growing Future Farmers and potential Farm Trainers to contact your Parents/Legal Guardians and discuss your suitability for joining the Growing Future Farmers programme.

Parent/Legal guardian name^*

Occupation^*

Phone^*

Email^*

Address^*

Please upload all document to support your application.

Cover letter & CV^*

Max 5MB

Photo^*

Max 5MB

Most recent school report^*

Max 5MB

NCEA results^*

Max 5MB

Birth certificate^*

Max 5MB

Drivers licence^*

Max 5MB

Video

Max 30MB

Do you have, or have you had, and injury, disability or medical condition that may prevent you from carrying out your full work responsibilities or that may require special consideration? This includes, allergies, behavioural challenges, mental health issues, any physical injuries.^*

Yes

No

I declare that the information provided in this registration, and in the process of my application, form is accurate and correct.^*

Yes, please subscribe me to the newsletter.

S&B Student Application Form