Farmer Registration - AgCAREERSTART

First name*

Surname*

Address*

State*

Suburb*

Postcode*

Email*

Phone number*

Do you identify as an Aboriginal or Torres Strait Islander?

Yes – Aboriginal

Yes – Torres Strait Islander

No

Prefer not to say

Do you identify as a person with disability?

Yes

No

Prefer not to say

If yes, please provide details*

Are you willing to provide full–time employment for a period of 9 – 12 months?

Yes

No

If no, please tell us why:

What is your farm / enterprise name?*

What is the size of your farm in hectares?*

What is the approximate annual turnover of your business?*

< $150,000

$150,000 – $500,000

$500,000 – $1,000,000

$1,000,000 – $2,000,000

> $2,000,000

What industry/industries do you operate in?*

Why are you interested in participating in AgCAREERSTART and hosting a school leaver/young Australian?**

What experience do you have working with young people (18-25 years old)?*

Are you willing to provide support to a participant who may have disability and inclusion requirements?*

Yes

No

Please provide a detailed description of the role you have on offer on your farm (ie – what does a typical day look like, what types of things will a participant be doing – keeping in mind that some participants might not be from a farming background)*

Do you have on-farm accommodation available?*

Yes

No

If yes, please describe the available accommodation (sharing arrangements, amenities, internet connectivity, etc.)*

In addition to accommodation, are there any additional provisions for the employee? (vehicle, fuel, etc.)*

Who works on your farm and why is it a great place to work?*

How many places are you looking to offer under the AgCAREERSTART program?*

How far is your farm from your nearest town?*

Are you willing to engage any participants in your local community and provide leave for study and professional activities?*

Yes

No

Are you actively involved in any community groups?*

Yes

No

If yes, which groups?*

Are you a member of any of the following organisations?*

Other, Please specify*

Were you referred by an industry organisation? (Delivery partners only)*

Yes

No

If yes, which organisation?*

Do you understand that you may be matched with participants who have little to no experience in the industry and may require extra support?

Yes

No

If you are unwilling/unable to accommodate a placement on your farm for someone with limited experience, we ask that you consider whether this program is right for you. We can still consider your application, however it may be difficult to match your farm with a participant.

Number of pictures*

Please provide some pictures that showcase your farm and the opportunity you are offering (could features scenic shots, picks of working, accommodation)

Picture #1*