Internship Application Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone - Cell*Phone - Other*Please use as much space as necessary to answer the questions in full. A resume can be substituted for the Education and Work History sections. Upload here:Education History (years, schools, majors- back to HS):Work History and References Please list your work history and describe your jobs and duties and length of time in each position.Also include three references, with current telephone numbers and/or emails, 2-3 from past employers or managers familiar with your work. One of the three can be a personal (not work-related) reference. 1. Tell us about your interest in farming. What excites you the most about working on a farm?2. Please describe what interested you about Tecolote Farm, and what you hope to gain from the experience.3. Are you available to work from late March to early August? Our minimum requirement is five months, with potential to work part-time before or after that time period.4. Do you want full or part time work? What could potentially compete for time with work?5. Do you have any past agricultural experience? What did you take away from it?6. Please list any other skills or past experience you have that might be applicable to this job, including landscaping, electrical, plumbing, mechanical, retail sales, gardening, carpentry, and management?7. Tell us about the most physically demanding job or day you’ve ever had.8. Please explain your experience with the following:a. Have you ever had a job that involved a lot of repetition? b. Have you ever worked unsupervised for long stretches? How did you keep yourself going at a reasonable pace without feedback?9. What will you contribute to the farm crew? Don’t be shy- this is a chance to brag.10. What skills to you hope to gain from this working internship?11. Do you see farming in your future? What are your long term plans and dreams for yourself?12. Do you have any interest in a long term role at Tecolote Farm? Are you interested in a position with added responsibility, such as a management position?13. Are you at least 18 and do you have a current driver’s license? Do you have a reliable vehicle?14. Do you smoke?Some of our vegetable transplants are susceptible to a tobacco-related virus. Smoking does not prevent an applicant from getting the job, but we need to know who can be near those plants and who can’t.15. Do you have food allergies, food restrictions, or allergies?Fire ants, bees, wasps, spiders, bull nettle, and molds/pollens are part of our everyday work environment. Serious allergies or hay fever should be considered.16. How would you describe your physical condition? Have you had any back, knee, tendon injuries that would affect your ability to do hard work? Farm work involves light to heavy lifting, repetitive movements, squatting, bending, etc.17. What do you like to do to stay in good physical condition? Have you ever participated in team sports?18. Do you speak Spanish? How well?19. What do you like to cook?20. If we have missed giving you an opportunity to tell us anything else about yourself you’d like to share, please do so now, including your other interests, hobbies, talents, skills, dreams and plans.References Below list three references, with current telephone numbers and/or emails, 2-3 from past employers or managers familiar with your work. One of the three can be a personal (not work-related) reference. First Reference Name of First Reference First Last Phone of First ReferenceEmail of First Reference Second Reference Name of Second Reference First Last Phone of Second ReferenceEmail of Second Reference Third Reference Name of Third Reference First Last Phone of Third ReferenceEmail of Third Reference Thank you for your interest in working on our farm! Katie and David CommentsThis field is for validation purposes and should be left unchanged.