Participant Registration

Step 1 of 9 – Page 1

First Name*

As per birth certificate.

Surname*

As per birth certificate.

Preferred Name*

Date of Birth*

Day

Month

Year

Email*

Mobile phone number*

Home Suburb*

Home Postcode*

Home State*

(abbrev. SA, TAS, WA, NSW, etc.)

Postal Address

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

Emergency Contact*

*Please note, AgCAREERSTART may communicate with your emergency contact regarding program updates from time to time.

First Name Surname Relationship to you

Emergency Contact email*

Gender*

What's your Unique Student Identifyer (USI)?*

If unknown, type “Unknown”

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 the success of 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. If you wish to discuss your specific circumstances, please contact AgCAREERSTART.

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

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?*

*Please note, applications from persons who are unable to work full-time (38+hrs per week) will NOT be accepted.

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?*

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

Please rate your exposure to agriculture:*

(1= no prior understanding/exposure, 3 = I learnt about it in school (theoretical), 5 = spent occasional time on a commercial farm, or studied agriculture in a practical program (eg. TAFE), 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 preferences due to the availability of placements. Be sure to clearly outline which of your preferences are most important to you in the section below.

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?*

Noting that a placement may not be suitable/available for you in your first or second preference industries, please tell us how likely you would be to continue with the program if you were offered a placement in your 3rd or 4th preference industry.*

Highly likely

Likely

Unlikely

Highly unlikely

Please be as honest with your answer as possible. If your top preference industry/ies are non-negotiable, it’s important that AgCAREERSTART know this.

Tell us about the kind of working environment you’d like to be a part of.*

eg. you’re looking for a large, social workplace where you’re part of a team; you’re interested in a placement that offers you lots of 1-1 mentoring with your Host; you’re looking for a placement where long-term career progression is an option; you’re looking for a placement that’s really focused on technology.

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

Please select all that apply. Please note, Participants are responsible for the cost of their own move to their farm placement.

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 hours 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?*

Please note, not all placements provide accommodation, and Participants may have to find their own, at their own cost.

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. Please note, pets are only allowed on placement on the agreement of the host producer. Understand that, due to various reasons, many placements are unsuitable for domestic pets.

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?*

Beginner Horse Riding

Intermediate to Advanced Horse Riding

Beginner Motorbike Riding (off-road)

Intermediate to Advanced Motorbike Riding (off-road)

Beginner Quad Bike/Side-by-Side Riding

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

Agricultural Machinery Operations in a professional environment

Non-Agricultural Machinery Operations in a professional environment

Please select all that apply.

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

Yes

If no, please provide comments.*

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

Please list their full name.

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.

Please indicate if you have or intend to apply for another program for 2025 that would take PREFERENCE over AgCAREERSTART.*

If you are applying for AgCAREERSTART as your top preference activity for 2025, please select the appropriate box. If you’re shortlisted, you will still enter the matching phase, even if AgCAREERSTART is not your preference activity. This information allows us to better understand when you would be in a position to confirm your placement for 2025.

Yes – university study

Yes – other study

Yes – other gap-year program

Yes – other program

Yes – I have/will, but AgCAREERSTART is my preferred activity

No – I have not/will not

You've told us that you're applying to other programs for 2025. Please provide some more information, including when you are likely to know the outcome of your application to this other program?*

Participants in the 2025 intake may be required to attend an in person 4-day Orientation Week from 12-16 January, 2025 (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.*

Agreement to comply*

Once applications close on the 29th September, we enter the shortlisting and matching phase, which runs as follows:
– Shortlisting conducted by the AgCAREERSTART team
– Shortlisting outcome notification – Wednesday, 2nd October
– COMPULSORY online psychometric testing* for shortlisted candidates – 2nd-6th October
– Matching commences from Monday, 7th October, until complete.
*Note: shortlisted candidates who do not complete psychometric testing in the window provided will not proceed to matching.

Applicants who require additional time or support to participate in ANY stage of the matching process should notify AgCAREERSTART IMMEDIATELY via email or phone call. If personal factors are influencing your ability to participate in any part of the process, please notify AgCAREERSTART so adjustments can be made.

I declare that I understand the AgCAREERSTART application and matching process and commit to actively participating. I understand that any delay in communication or action on my behalf may result in my being excluded from the program, or my match being voided. I understand that I must notify AgCAREERSTART if there is likely to be any delay to my communication.

How did you find out about this program?*

Social Media

Google/Desktop research

Careers Expo

Agricultural Field Day

Referred by friend or family

Referred by a past AgCAREERSTART Participant

Referred by teacher or careers counsellor

TV/Radio/Newspaper

Other

Please tell us which Careers Expo or event*

You told us you were referred by a past Participant. Please tell us who so we can thank them!*

Please tell us which Agricultural Field Day.*

Statement of Intent

This Statement of Intent (SOI) will be used by the AgCAREERSTART team and potential employers to assess your suitability for a place the program.
Your Statement of Intent can be in written or video form. It MUST be 800 words, or 5 minutes in length, and should respond to the prompts provided on the application information page. If written, your SOI will be input into the text field below. If video, you must upload to a cloud-based program (such as DropBox, or YouTube), and the link entered into the appropriate field below.

My Statement of Intent is:*

Written Statement of Intent*

Please type your Statement of Intent into the box below.

Video link*

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*

Drop files here or

Max. file size: 6 MB.

Please upload your reference form*

Drop files here or

Max. file size: 256 MB.

Is there anything else you would like to tell us about yourself, or your application?*

Application declaration*

I declare that this application was completed by me, the Candidate, and all information is true and correct. I understand that any falsified of misleading information provided in my application may result in my disqualification from the application process.

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