Needle-Lane Farms Internship Application

Name:                                                                                                 Date:

Phone:                                                             E-mail:

Current Address:                                                       Permanent Address:

Sex:                 Date of Birth:                                     Marital Status:

Dates Available for Internship:   

School Attending:                                                                   Major:

Is Internship for School Credit?

Would you need housing on the farm?                     

Do you currently have medical insurance?

A valid Drivers License and a Car?

Are you a vegetarian?

_________________________________________________________________________________________________________________________

Why would you like to live and work on our farm?

What experience do you have with farming?

What are your learning goals for this internship?

What are your future career plans?

Do you have any medical conditions that may interfere with farm work? (i.e. asthma, allergies, bad back, etc)

How would you rate your physical fitness?

If given a choice would you rather work in a group or independently?

Do you like cold or hot weather better?

Do you like pets? Have any of your own?

What else would we like to know about you? (Hobbies, Interests, Special Talents, etc.)

How do you like speaking with new people?

Where did you hear about our internship?

Please attach your current resume with this application and mail or email to:

Needle-Lane Farms 6376 Tipton Hwy  Tipton, MI 49287      needlelane@tc3net.com

Thank you for your interest and taking the time to answer these questions.

We will contact you soon about this internship!