Application

Factor e Farm/Open Source Ecology

• Farm Apprentice and Open Source Ecotechnology Program
• (206) 202-3387 (voice), Skype: marcin_ose
• email: opensorceecology@gmail.com web: www.openfarmtech.org/
• APPRENTICE APPLICATION

Please fill in the following:

1. Name
2. age
3. M/F
4. Address
5. local phone
6. Skype
7. email

Permanent address perm. phone best time to be reached How did you hear about the program? What is the time period during which you will be available to apprentice? What are your goals in becoming a farm apprentice? Afterwards? Describe the type of farm experience and skills in which you are most interested. Please mention at least three specific areas of interest. Are you only interested in working on an organic farm, or will you consider conventional farms as well? MOFGA use processed: 2 Please list schools you have attended, degrees and/or major areas of study or training. Please attach a resume or provide a list of work experience, both paid and volunteer. What do you perceive will be your reaction to living and learning with new and unknown people in a rural area? Is the receipt of a modest stipend crucial to your ability to work as an apprentice? Will you be able to visit farms and interview with farmers who are interested in having you as an apprentice? Do you smoke? Do you have any dietary restrictions? Will you eat meat raised at your host’s farm? Do you have transportation? Can you drive a manual transmission? Do you have any relevant medical conditions or physical limitations that will affect your ability to do farm work, or any emotional or psychological issues? If yes, please explain: Other considerations: Special Interests: 3 Do you have strong ideological views (political, religious, feminist, etc.)? Please share three interesting things about yourself. Please share three things you think people should know about living with you. REFERENCES 1 Work reference email phone 2 Work reference email phone 3 Personal reference email phone Please list the reference numbers of up to 12 farms that interest you below. See the Farm Synopses in the Apprenticeship section of www.mofga.org for farm descriptions and reference numbers. MOFGA will send you contact information for these farms, and will send your application to these farms. 1 2 3 4 5 6 7 8 9 10 11 12 Return your completed application and any attachments to: MOFGA Apprenticeship Program, P.O. Box 170, Unity, ME 04988 or email to education@mofga.org Call 207-568-4142 with any questions. Thank you!!!!