Farmer Training Application

Farmer Training Program Application

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Page 1

Program Code

Contact Information

This program requires that participants be 21 years of age.

This program requires that participants be 18 years of age.

Do you meet the minimum age requirement for this program as described above?

YesNo We offer many other program that do not have an age limit. Please contact us and we would be happy help you meet your educational goals.

When do you plan to begin this program?

First Name

Middle Initial

Last Name

Student email address

I verify that this is not an email account that I share with another personFor example, if you and a sibling use the same email address, your accounts may become combined and cause registration delays

Are you Hispanic/Latino/a/x?

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

Gender Identity – We ask this question to make sure all people are welcome and included into our program.

How do you describe yourself? (optional; choose all that apply)

AgenderCisgenderFemale/womanGenderqueer/gender fluidIndigenous or other cultural gender identity (e.g., two-spirit)IntersexMale/manNonbinaryTransgenderNot listed abovePrefer not to sayoptional; choose all that apply

Gender Identity: Not Listed

You may enter a gender identity not listed above

Pronouns – Which pronouns do you want to be referred to by? (optional; choose all that apply)

He/Him/HisShe/Her/HersThey/Them/TheirsXe/Xem/XersZe/Hir/HirsZie/Zir/ZirsNo pronouns – use my name

Country

Permanent Street Address

City

State

Zip Code/Postal Code

Permanent Phone Number

Mobile Number

Local Number

Are you a US Citizen?

YesNo

Birth Date

MM/DD/YYYY

Hidden

Current Start Date EOLD 1

Page 2

Disciplinary actions

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?

Yes

Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

If you answered 'Yes' to the question above, please provide details

Scholarship Statement (optional)

Scholarships: a limited number of scholarships are available for students based on financial need. Please provide a statement of financial need if you want to be considered for a scholarship. We will alert you to our decision and next steps after we review your application.

Leadership for Sustainable Food Systems Application Questions

Primary area of expertise

What aspects of our food system keep you up at night and what role do you see for yourself in the necessary revolution for a sustainable food system?

Business of Craft Beer Career Questions

What career track most interest you?

MarketingSalesBusiness Operations

Are you seeking an apprenticeship in the craft beer industry?

YesNo

How did you learn about this program?

Referral from a friend/family memberGoogle/Search EngineNewspaper/Web ArticleUVM websiteSocial Media (facebook, twitter etc)Advertisement Blog Talk Radio Check all that apply

Food Hub Application Questions

Program Preference

Four-month fundamentals programThe Ten-month full certificate program is no longer available as of December 2016.

Do you currently work in a food hub?

YesNo

Food Hub Detail

Food Hub Location

City

State

Zip

Year food hub was established

How long have you been working at this food hub?

What is your current position/title?

What is your food hub's mission?

Which of the following services or activities does your hub offer?

AggregationDistribution servicesPackaging/RepackagingProduct storageCanningFreezingCutting

Which the following types of physical assets does your food hub currently own, rent or lease from others and currently use? Check all that apply

WarehouseOffice space for the hubProcessing facilitiesTrucks, vans or other delivery vehiclesOn-line ordering systemRental space for other businessesRetail space for the hubNone of the above

Which of the following business models best describes your food hub?

Which of the following best represents the current legal status of your food hub?

If your food hub is part of a larger organization, please explain that relationship.

Farmer Training Questions

Where did you see the advertisement?

Highest Level of Education

Organization

Is there in organization or company that you currently work for? If not, please enter N/A

Title

What role do you play in the organization or company listed above? If none, please enter N/A

Describe any reasonable accommodations that you require.

Being a student in this course will involve strenuous physical activity (bending, squatting, kneeling, heavy lifting, maneuvering through planted rows) outside during the summer months.

Please describe your previous experience in farming or gardening. Also list farm skills that you already have learned.

Describe your experience in a work and/or learning community environment and how you helped to create a sense of cohesion. How will you contribute positively to the Farmer Training Program community?

End-of-Life Doula Professional Certificate

Short answer questions-- you may wish to draft your responses on your own computer and paste them here.

Why are you interested in this program?

Please include when you foresee yourself beginning this work and in what capacity, or explain how you are already engaged in End of Life Care.

Describe your basic thoughts on death.

Please describe your personal experiences of being with dying persons.

Please include any volunteer or professional work experience with the dying.

If you have experience providing care for dying people, where are you in your personal grief journey?

If you have experience providing care for dying people, where are you in your personal grief journey? Describe the self-care and support measures you’ve taken in your bereavement process. Please explain how you know you are emotionally ready and able to offer support to others facing loss.

In one or two sentences could you please summarize your philosophy of care in terms of providing emotional support to others?

Do you have any experience “holding space” for others? If so, please describe?

Are you comfortable or able to maintain a non-anxious calm and quiet presence in the midst of intensity experienced by others?

Are you willing to commit yourself to supporting all kinds of dying experiences, including deaths with suffering, complex family dynamics, and life choices and religious/spiritual choices that might differ from yours?

You may be called upon to do the following when you are in service to others as an End of Life Doula upon completing this program. Please click "Yes" next to each item to acknowledge that you understand that serving as an End of Life Doula may require this of you. You have the option to click "No" for items that don't fit for you.

Accept that death and dying are a normal part of life.

YesNo

Have a foundational knowledge of symptoms associated with terminal illnesses, the physiology of death, and techniques for alleviating suffering.

YesNo

Provide nonjudgmental emotional/spiritual support and soothing physical comfort measures.

YesNo

Create a calming, peaceful atmosphere.

YesNo

Promote informed consent for each client.

YesNo

Help gather relevant information and connect clients to beneficial resources.

YesNo

Assist clients with living their days to the fullest – developing wishes for care together, arranging visits, and encouraging the preservation of energy for what’s most important.

YesNo

Hold a client’s hand through the purposeful work of resolutions, story sharing, life reflections, and legacy projects.

YesNo

Trust in the inherent wisdom of each person to decide and discover his or her own best path.

YesNo

Companion rather than treat.

YesNo

Empower and encourage a client’s friends and family members to operate within their comfort zones; fill-in support gaps as they arise.

YesNo

Feel comfortable sitting vigil and respectfully assisting in after death care as directed by a client’s family.

YesNo

Provide a continued presence, when requested, during the initial grief and bereavement phase.

YesNo

Personal Statement

Explain what you hope to gain from taking this program and how this training fits into your future plans.

Employment History/Personal Statement

Upload Resume (include education, employment, and volunteer history with dates)

Upload Resume

Upload Resume or Personal Statement (optional)

Program cancellation acknowledgement

I understand UVM reserves the right to cancel this program due to insufficient enrollment or any other reason which would impact the quality or viability of the program.

Page 3

References

Food Hub Reference Instructions

Please list three references, including the reference's place of employment, email address, and phone, that demonstrate your engagement in your local/regional community, economy, and/or food system.

Reference 1

Please list Name, Organization, Email Address, and Phone

Reference 2

Please list Name, Organization, Email Address, and Phone

Reference 3

Please list Name, Organization, Email Address, and Phone

Recommendations

Farmer Training Program Recommendation Instructions: Please include two letters of recommendation from people who know you well enough to give an informed opinion of your motivation, intellectual ability, capacity for sustained effort, and personal qualifications. Ask your references to include your relationship to them.

Recommendation 1

Recommender 1's Name

Recommendation Letter 1

Recommendation 2

Recommender 2's Name

Recommendation Letter 2

Authnet_Hidden_Fields

Save my progress and resume later | Resume a previously saved form

Contact Information
Your Rights Under GDPR

Areas of Interest

Program Type

Learning Format

Credit Courses

For Students

For Employers

For Staff

Categories

Latest from the blog

Keep in touch

Address

Farmer Training Application

Farmer Training Program Application

Page 1

Page 2

Employment History/Personal Statement

Page 3