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Diversified Vegetable Apprentice Application
Internal Use Only
Contact ID
Contact information
First Name
Last Name
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Benin
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Bouvet Island
Brazil
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Burundi
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Canada
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Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
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Cook Islands
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Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
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Dominica
Dominican Republic
East Timor
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
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Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
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Indonesia
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Japan
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Libya
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Madagascar
Malawi
Malaysia
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Mali
Malta
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Nigeria
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You must be 18 or older to apply for the DVA Program.
What year were you born?
Please select...
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
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1993
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1981
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1979
1978
1977
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1974
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1968
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1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Your role
Which of the roles below do you most identify with?
Farmer or grower:
I own or work at a farm business or organization, or have in the past
.
Food system professional:
I engage with the food system as part of my profession, but not primarily as a farmer or grower.
Changemaker:
I support sustainable agriculture and engage with the food system in my personal life—such as by gardening, volunteering, or purchasing food from local farms and producers.
Farming objectives and experiences
What is your career objective?
Own a farm business
Manage a farm
Provide farming education
Provide technical services for farmers
Other
Check all that apply
Please specify your career objective.
Do you have a high school diploma/GED/equivalent?
Yes
No, but I will before starting an apprenticeship
No
To become an apprentice, you must have either graduated from high school, or obtained a GED or high-school-equivalence diploma.
How many farm experiences would you like to tell us about?
You can choose up to three. If you have more than that, please choose your three most recent or significant experiences.
I don't have any applicable farm experience
1
2
3
Please briefly describe why you want to be an apprentice.
Farm experience #1
Name of farm
Farm zip code
What is/was your role or title at the farm?
Start date
End date
Which best describes this farm experience?
Full time
Part time
Apprenticeship
Farmer training program
Internship
Volunteer
Other
Check all that apply
Please briefly describe your experience at this farm, including what your responsibilities were and what you learned. (
Max 250 words
)
Farm experience #2
Name of farm
Farm zip code
What is/was your role or title at the farm?
Start date
End date
Which best describes this farm experience?
Full time
Part time
Apprenticeship
Farmer training program
Internship
Volunteer
Other
Check all that apply.
Please briefly describe your experience at this farm, including what your responsibilities were and what you learned. (
Max 250 words
)
Farm experience #3
Name of farm
Farm zip code
What is/was your role/title at the farm?
Start date
End date
Which best describes this farm experience?
Full time
Part time
Apprenticeship
Farmer training program
Internship
Volunteer
Other
Check all that apply.
Please briefly describe your experience at this farm, including what your responsibilities were and what you learned. (
Max 250 words
)
Demographic information
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.
What year did you start farming?
Please select...
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
What's your gender?
Prefer to self-describe
What is your race/ethnicity?
Alaska Native, American Indian, Indigenous American, or Native American
Arab American, Middle Eastern, or North African
Asian American, East Asian, South Asian, or South East Asian
Black, African American, African, or African descent
Latina/o/x, Chicana/o/x, or Hispanic American
Native Hawaiian or Pacific Islander
White or European descent
Another race, ethnicity, or origin
Check all that apply
x
Other race/ethnicity
Other aspects of diversity:
Immigrant or first-generation American
LGBTQ+
Person with a disability
Refugee
Veteran
Not applicable/I prefer not to say
Check all that apply
How did you hear about this apprenticeship?
PASA's website
PASA's online newsletter, or another email from PASA
At a workshop or event hosted by PASA
Through another organization
Word of mouth
Internet search
Other
Check all that apply
If possible, please specify from whom you heard about this apprenticeship.