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Agri+ Labour Placements
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AGRI+ LABOUR PLACEMENTS_APPLICATION TO WORK IN THE USA
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Name(s)
Surname
Email
Code
Phone
Nationality
Gender
Choose an option
ID Number (13 digits only)
Date of birth
Current location
Choose an option
Have you been vaccinated, or are willing to be vaccinated?
Choose an option
Do you have a criminal record?
Choose an option
Do you smoke?
Choose an option
FARMING EXPERIENCE
Do you have ANY farming Experience?
Choose an option
Please choose the skills below in which you offer FIRST-HAND FARMING EXPERIENCE (proof of experience might be required). You can choose ALL the skills that apply to you
*
Required
General Farming
Truck Driving
Mechanical
Trade
Mining Experience
Nursery Experience
If you have NO FARMING experience - Please state your Current career
SELF ASSESSMENT
License (Choose all relevant)
*
Required
Code 14/heavy duty
Code 10/light duty
Code B
Code EB
CDL - USA Licence
USA - Other
None
Which of the following are your strongest skills? (Choose 3)
*
Required
Crop farming (maize, wheat)
Cattle
Truck driving
Mechanical
Manure Handling
Sprayer
Horticulture/Nurseries
Harvest
Manure Spreading
Silage
Irrigation
Pivots
None
If Livestock Farming is a strong skill, which of the following aspects do you have experience with? (Choose all that apply)
*
Required
Pig Farming
Chicken Farming
Horses
Aquaponics
Cattle
Artificial Insemination
Repro Scan
Injections
Branding
Ear tag
None
If Crop Farming is a strong skill, which of the following crops do you have experience with? (Choose all that apply)
*
Required
Maize
Wheat
Rice
Cotton
Beans
Sweet potatoes
Beetroot
Peas
Canola
Alfalfa
Peanuts
Vegetables
Fruits
Pecans
None
What level of Mechanical skills do you have?
Choose an option
Which of the following aspects do you have good experience with? (Choose all that apply)
*
Required
Pumps
Electrical
Welding - Metal Inert Gas (MIG)
Welding - Tungsten inert gas (TIG)
Welding - ARC
Plumbing
Wood work
Carpentry
Construction/Mining
Drilling/Boreholes
None
What farm vehicle skills do you have? (Choose all that apply)
*
Required
Tractor
Combine Harvester
Truck
Self-Propelled Sprayer
Earth Moving Equipment TLB
GPS (Global Positioning System)
None
Which Country do you have farming experience in? (Choose all that apply)
*
Required
SA
USA
USA & Eswatini
Eswatini
Experience in years?
PREVIOUS EMPLOYERS/REFERENCES
Please provide us with 2 conta
ct
able previous employers.
DO NOT
list yourself as a reference!
REFERENCE 1
Name and Surname
Email
REFERENCE 2
Name and Surname
Email
SUBMIT
This form no longer accepts submissions.
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