Participant Registration

Step 1 of 7

14%

First Name*

Surname*

Preferred Name*

Date of Birth*

Day

Month

Year

Email*

Phone number*

Residential Address*

Street Address Line 1 Street Address Line 2 City State or Territory Post Code

Postal Address

If different from above

Street Address Line 1 Street Address Line 2 City State or Territory Post Code

Gender*

Do you identify as an Aboriginal or Torres Strait Islander?*

Yes – Aboriginal

Yes – Torres Strait Islander

Prefer not to say

Do you have a disability, including any kind of physical or intellectual impediment?*

*Please note, this will not impact your application to the program, it will just help us find a suitable placement. We highly encourage transparency to ensure your safety and enjoyment in the AgCAREERSTART program.

Yes

Prefer not to say

If Yes, please provide details*

Do you have any other kind of medical condition that may impact you on-farm?*

Yes

Prefer not to say

If Yes, please provide details*

Do you give consent for AgCAREERSTART to share this information with your potential Host employer?*

Please select each category of information that you consent to sharing with your potential Host employer.

Disability

Medical

Neither

Emergency Contact

Name*

First Last

Phone*

Email*

Relationship to you*

Are you from a non-English speaking background?*

Yes

Prefer not to say

Were you born outside of Australia?*

Yes

Prefer not to say

Do you have unrestricted rights to work in Australia?*

Yes

Do you have a driver's license?*

Yes – Learners

Yes – Provisional

Yes – Full

No – Don’t intend to

No – Not currently, but will by the time of placement

Is your license for a manual vehicle?*

Yes

Do you have any ethical or cultural beliefs or concerns that we should be aware of when finding you a placement?*

Yes

If yes, please describe.*

Do you have any special dietary requirements?*

Please rate your exposure to agriculture: (1= no understanding/exposure, 3 = I learnt about it in school, 5 = spent some time on a working farm, 8 = I have been working in Agriculture (not full time), 10 = I have been working in agriculture full time for more than 6 months)*

Have you looked for employment in agriculture in the past?*

Yes

If yes, please provide more detail.*

At this stage, how likely would you be to consider further study or employment in agriculture beyond your 2024 gap-year placement? (1=not at all, 10= extremely likely)*

Farm Preference Selection

Please understand that these preferences will ultimately determine which farm you are matched with in the program. Whilst we endeavour to find a placement for you that meets all of these criteria, please understand that we may have to sacrifice some of your desires due to the availability of placements. Be sure to clearly outline which of your preferences are most important to you in your Statement of Intent or Additional Comments section.

Select your first preference farm type from this list:*

Select your second preference farm type from this list:*

Select your third preference farm type from this list:*

Select your fourth preference farm type from this list:*

Please provide more information about your "specific" interests.*

Tell us more about your selections. Why have you chosen the above farm types?*

Where would you be happy to be offered a placement?*

Please select all that apply.

QLD

NSW

TAS

VIC

Do either of these apply to your geographic preferences?

I am happy to work in a remote and/or isolated location

I would prefer to stay as close as possible to where I am currently living

You've selected that you'd like to stay as close to home as possible. What is the maximum distance in KMs you would be willing to travel or move for your placement?*

Do you have any experience living in rural or remote locations?*

Yes

If yes, please provide more detail.*

Do you have any additional comments about the preferred location of your placement?*

eg. Desire to join local clubs, attend campdrafts, be near to coastal locations, accessibility of healthcare, etc. If none, input N/A

Would you be willing to find your own accommodation if a farm placement did not include board?*

Yes

Depends

Please let us know if you have other available accommodations such as family/friends in other locations.*

If none, input N/A.

Please list any specific requirements for accommodation.*

eg. I have a pet, I have horses, I’d like single-sex accommodation only, etc.

I am a:*

What is your highest level of education?*

Did not complete high school

High School

Vocational Training/Trade Qualification

Undergraduate degree

Postgraduate degree

Please list your tertiary qualifications.*

Please list the secondary school you attended most.*

Do you have any of the following specialist skills?

Intermediate to Advanced Horse Riding

Intermediate to Advanced Motorbike Riding

Intermediate to Advanced Quad Bike/Side-by-Side Riding

Ag or Non-ag Machinery Operations

Are you able to commence an on-farm role in Jan-March 2024?*

Yes

If no, please provide comments.*

Indication of Intention*

I declare that in applying for this program, I intend to complete a full 10-12 months on farm.

If this is not your intention, please stop your application now and contact the AgCAREERSTART team to discuss your specific requirements.

Participants in the 2024 intake may be required to attend an in person 4-day event at the end of January (dates and location TBC). Your travel and accommodation will be provided for this. Do you foresee any reason why you would not be able to attend.*

Yes

If yes, please provide more detail.*

Do you know another applicant that you are you hoping to be placed near-to in the 2024 intake?

Please list their full name.

How did you find out about this program?*

Social Media

Google

Careers Expo

Referred by friend or family

Referred by teacher or careers counsellor

TV/Radio/Newspaper

Other

Is there anything else you'd like to tell us?*

Additional Application Requirements

Please upload your 800 word written Statement of Intent OR 5 minute video.

Accepted file types: pdf, Max. file size: 8 MB.

Video link

Farmers will get to see your video, so this is your chance to sell yourself! Please upload your video to any cloud storage such as Youtube, Vimeo, iCloud, Dropbox etc and enter the video link in field below.

Please upload your CV*

Accepted file types: pdf, Max. file size: 6 MB.

Consent – Sent Reference template*

Have you sent the reference template to your referee?*

Apply now