SUNCREST GARDENS FARM Internship Program S2257 Yaeger Dugway, Cochrane, WI 54622 www.suncrestgardensfarm.com Heather Secrist Farmer heather@suncrestgardensfarm.com 608-626-2122 INTERN APPLICATION APPLICATION DEADLINE: MARCH 31, 2012 Contact Information: Name_________________________________________Date__________ Address____________________________________________________ City___________________________State_________Zip___________ Phone #______________________________Best Time to Call_____ Email______________________________________________________ Personal Information: Gender_______________Age__________ Do you exercise regularly?_______ If yes, what do you do?_____________________________ Are you capable of lifting 60 pounds?_______ Do you have a valid driver’s license?_________ In what state?_______ Do you have reliable vehicle?__________ Do you have health insurance?_________ Are you a US citizen?_______ Do you have a criminal record?______ Any dietary restrictions?________ Please elaborate: Any allergies?_________Please list: Any other important details about yourself (i.e. special needs, religious practices, etc) Please respond to the following questions. Use extra paper if necessary. 1) How does this internship fit into your future plans? 2) What are you hoping to gain from your participation in this internship? 3) How did you hear about Suncrest Gardens Farm? Reasons for Applying: Areas of Interest. Check all that apply. ____ animal production: what kind?______________________ ____ community supported agriculture (CSA’s) ____ ecological restoration ____ education ____ food processing/value-added goods ____ cow milking and cheese production ____ greenhouse production and management ____ marketing & sales ____ pasture management ____ perennial crops ____ permaculture ____ poultry ____ soil fertility ____ vegetable production ____ seed production ____ whole farm systems design Background: Please respond to the following. Use extra paper if necessary. 1) What level of education have you completed? List institutions, degrees, and year completed. 2) Work History: Please give an accurate and complete full-time and part-time employment record. You may substitute your resume with all included information regarding place of work, address, your title, name of supervisor, phone number, duties, length of time worked there, reason for leaving, hours worked per week, and if we may contact your employer. Start with your present or last employer. Explain all breaks in continuous employment. Be specific regarding experience related to the position for which you are applying. 3) What is your gardening/farming experience or training? (Explain in detail: duties performed, skills learned, where you worked, etc.) 4) What other relevant skills do you have? (Carpentry, cooking, languages, etc.) 5) Do you have culinary/restaurant experience? Please elaborate. 6) Have you worked with farm equipment or power tools? How comfortable are you with the idea of working with farm equipment or power tools? Please elaborate. 7) What are your biggest challenges in the work environment? 8) Do you prefer working alone, with others, or both? Please explain. Do you prefer to take charge and direct others, receive direction, or a mix of both? Please explain. 9) Please list any social or community activities that you are or have been involved in? 10) What community living experience do you have? What are some of the challenges and rewards of community living? 11) Are you able to visit and interview with Heather if she is interested in hiring you? 12) When are you able to start working? 13) Do you need to be finished working by a certain date? 14) Do you have experience around children? 15) Please list three personal references. Include name, phone number, relationship and length of relationship. Email completed applications to: heather@suncrestgardensfarm.com Please email or call Heather at 608-626-2122 if you have any questions about the application process. Thank you!