COVID-19 Resources for Farmers & Markets

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Contact information
Current address
Permanent address
You must be 18 or older to apply for the DVA Program.
Languages
Education
To become an apprentice, you must have either graduated from high school, or obtained a GED or high-school-equivalence diploma. 
High School/GED/Equivalence
Education Experience #2
Education Experience #3
Education Experience #4
Work experience
Please detail one to three related and/or significant paid or volunteer work experiences.
Experience #1
Experience #2
Experience #3
Please provide three references (two work and one personal) with contact information. 
Work reference #1
Work reference #2
Personal reference
Outreach
Previous experience with PASA programming
Apprenticeship


Demographics
Responses to the following demographic questions are optional and voluntary; refusal to provide this information will not affect consideration of your application and is separated from, and not used in, the apprenticeship decision making process. This information will be kept strictly confidential and is anonymized and used for statistical purposes only.
Check all that apply
Check all that apply