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Vets on the Farm - Intern application
The purpose of this form is to help match Veterans to farming and related agriculture internships that will be interesting and useful based on Veteran’s experience and goals. This information will not be shared outside of the program.
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First and Last Name
Your answer
Address
Your answer
Last 4 SSN
Your answer
Email address
Your answer
Phone
Your answer
Are you able to provide a DD-214?
Yes
No
Clear selection
Did you service include combat, dangerous or traumatic assignments?
Yes
No
Clear selection
In which branch of the military did you serve?
Army
Navy
Air Force
Marines
Coast Guard
Reserves or National Guard
Clear selection
Dates of Service
Your answer
What was your occupation in the military?
Your answer
Overall, how do you view your experience in the military?
Your answer
Are you enrolled in the VA?
Yes
No
Clear selection
Do you have a service-connected condition?
Yes
No
Clear selection
Will you require accommodation in order to complete your internship?
Yes
No
Clear selection
If you answered YES, please describe what the accommodation required to make your internship successful:
Your answer
Describe your goals for participating in this program. Are there areas of agriculture you are interested in learning? What do you hope to accomplish by participating in and completing the internship? Additional page attached if needed.
Your answer
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