D Acres of New Hampshire Application Form

Date of Application (not Date of Birth!)

mm/dd/yy

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

*Please note that learners and employees (interns, apprentices, residents, staff) who live on-site must be at least 18 years of age*

Please provide the name, address and phone number of 2 persons to contact in case of an emergency:

I have read the following documents:

2586 Words About D Acres

D Acres Organizational Manual

Projects and Goals

(Please do not continue with application until you have read these documents.)

D Acres of New Hampshire has several programs that run concurrently. Please specify which position or program you are interested in. For more information on programs here read through Working at D Acres

Hospitality Manager 2012

Apprentice

Intern

College Credit  

Artist-In-Residence/Tradesperson

Special Projects

Preferred Start Date & Duration of stay. (minimum 6 weeks)

Please indicate the area in which you would like your primary focus to be.

Organic Gardening

Permaculture Gardening System

Culinary Arts

Hospitality

Animal Husbandry

Herbal Medicine

Sustainable Forestry

Woodworking

Other (please specify)

Educational History

Work history for at least prior 3 years:

May we contact your former employers?

How did you find out about D Acres?

As indicated in the Organizational Manual, fees may apply to the program to which you are applying. Upon acceptance to the internship or apprenticeship program, you will be asked to send in a deposit of $120 to hold your place. Please do not send money until requested to do so. Are you aware of the costs, and able to contribute financially?

Please provide a brief paragraph stating your goal/s in joining D Acres of New Hampshire. We would also be interested in knowing of any prior study or work experience you feel will enhance your ability to function within this community.

Describe the type of farm experience and skills in which you are most interested. Please mention at least three areas of interest.

Please describe any prior experience with community organizations and community living. D Acres can be described as an immersion experience, how would you describe your perceived reaction to the responsibilities involved in living in this type of community.

Please list three things you want people to know about living with you:

What do you perceive will be your reaction to living and learning with a constant flow of new and unknown people in a rural area?

Everyone living at D Acres of NH is required to contribute to the functioning of the community through the communal contract(As stated in the organizational manual).  This includes cooking, cleaning and community meetings. What is your experience with these kind of shared tasks, and do you have any concerns about the weekly responsibilities of the communal contract? 

You will be in an environment where living in close community can present both interpersonal and personal challenges. What experiences have you had to prepare you for this kind of work?

D Acres provides and opportunity to build new skills for the future, how do you plan to share the new skills you learn with the wider community/your community?

Do you have personal transportation?

Do you have special dietary needs? Please explain:

Do you have any health problems, special needs, addictions (e.g. coffee, cigarettes, alcohol), allergies?  Do you take any medications?  Please specify.

Please provide the names of at least two references, including name, title, phone and e-mail address...one personal and one employer or faculty: