Program Application Form

Who is filling in this form?*
- I am an agent filling in this form on behalf of a participant
- I am a participant filling in this form
Agency Name*
Agent Email*

For general notifications
Personal Information
As written on passport
First Name(s)*
Only use English alphabet letters
Last Name*
Only use English alphabet letters
Date of Birth*
MM slash DD slash YYYY

You must be at least 18 years of age when taking any of our programs.
Gender*
Mobile Phone (include country code)*
This number will be used for Whats App Message
Email*
Enter Email Confirm Email

Please note that your email cannot contain a hyphen. For example t-online will not work with our system. If you have a hyphen please make a new account for the application.
Nationality on Passport*
Program Information
Destination country*
Choose a program in New Zealand*
Choose a program in Australia*
Choose a program in Canada*
Full time / part time*
- Part time internship - 18-20 hours per week
- Full time internship - 35-40 hours per week
- Part time internship and part time work
Do you understand this is an Internship Program working and living in a hostel for a minimum of 12 weeks and maximum of 20 weeks?*
- Yes
If your answer is no please select a different program type.
Do you understand this is a seasonal hospitality or tourism job working in a hotel or resort for one full summer or winter season with a minimum term of 6 months commitment*
- Yes
If your answer is no please select a different program type.
Orientation date*

MM slash DD slash YYYY

Orientations are held on specific Tuesdays throughout the year. When they are full or it is within 4 weeks the date will not show. Pre placed Hospitality participants should select a date between September 14 and October 30.
Anticipated arrival date in country*
If taking 3 night arrival package arrive on Sunday in Sydney or Monday in Auckland.
MM slash DD slash YYYY
Anticipated placement start date*
MM slash DD slash YYYY

Placement refers to your work, internship or volunteer placement start. We can discuss your start and end date during your interview and the date can be changed later.
Anticipated placement end date*
MM slash DD slash YYYY
Number of weeks at placement
Season start
Are you booking a 2nd Program
- Yes
- No
2nd Program
Anticipated placement 2 start date
MM slash DD slash YYYY
Anticipated placement 2 end date
MM slash DD slash YYYY
Placement 2 number of weeks
Which type of farm do you prefer*
- Livestock farm
- Dairy Farm
- Horse farm
- Farm Au Pair
- Other
Horse riding ability
Only for those who wish to stay on a farm with horses
- Beginner
- Intermediate
- Advanced
Do you have your driving licence?*
Some farms require you to be able to drive. We will discuss this with you during your interview.
- Yes
- No
In what Industry are you wanting an internship - Select up to 3
- Accounting/Finance
- Advertising/Public Relations
- Arts/Entertainment/Publishing
- Automotive
- Business
- Business Administration
- Clerical/Administrative
- Construction/Facilities
- Consumer Goods
- Customer Service
- Education/Training
- Energy/Utilities
- Engineering
- Government
- Green
- Hospitality/Travel
- Human Resources
- Insurance
- IT
- Legal
- Management
- Marketing
- Non-Profit/Volunteer
- Pharmaceutical/Biotech
- Quality Control
- Real Estate
- Restaurant/Food Service
- Retail
- Sales
- Science/Research
- Technology
- Telecommunications
- Transportation/Logistics
- Other
Do you require English Studies*
- No
- General English
- Business English
English studies hours
- Part Time - 10 hours per week
- Full Time - 20 hours per week
English studies start date
MM slash DD slash YYYY
English studies number of weeks
Please enter a number from 2 to 12.
List names of any traveling Companions
Visa Information
Type of visa*
Other
At what stage of your visa application process are you at?
At what stage of your visa application process are you at?
At what stage of your visa application process are you at?
Arrival, Accommodation and Transfers
3 Night Arrival Package
- Yes
- No
The 3 night arrival package includes airport transfer, 3 nights pod hostel accommodation and breakfast vouchers. This package is best for those who have a short period in the arrival city before going to the placement or for those who want to search for their own long term accommodation in the arrival city.
Do you require long term accommodation
- No - will arrange my own accommodation
- Yes - Homestay (private room breakfast and dinner shared facilities)
- Yes - Hostel Residence (private room shared facilities)
- Other
Long term accommodation bookings are for those undertaking internship or work programs in Auckland, Wellington, Sydney, Melbourne, Brisbane, Adelaide. Other cities may be available on request.
Homestay Check In
MM slash DD slash YYYY

Check in must be on a Sunday
Homestay Check Out
MM slash DD slash YYYY

Check out must be on a Sunday
Number of Nights
Airport Reception to Homestay*
- Yes
- No
This is a private transfer. The driver will meet you in the arrivals hall at the airport.
Hostel Residence Check In
MM slash DD slash YYYY
Hostel Residence Check Out
MM slash DD slash YYYY
Number of Nights
Airport transfer to Hostel Residence*
- Yes
- No
This is a door to door shuttle bus service. The driver will meet you outside of the arrivals hall at the airport and drop you off at the hostel.
Additional Information
Do you suffer from any physical conditions or mental illnesses that may prevent you from doing any job?*
- Yes
- No
Please let us know about your conditions
Do you take any medication?*
- Yes
- No
Please let us know what type of medications you are taking
Do you have any dietary requirements?*
Vegetarian, vegan, lactose intolerant, celiac etc.
- Yes
- No
Please let us know your dietary requirements
Do you have any allergies?*
- Yes
- No
What allergies do you have?
Include any Drug, Food, Insect, Pet or Pollen allergies
Do you smoke?*
We have a smoke free policy on all farms in New Zealand. Smokers are not permitted to take the program and anyone found smoking on the farm will be asked to leave the farm and the program.
- Yes
- No
Do you smoke?*
- Yes
- No
Additional Information
Please let us know any other details that we need to know about you, or your program booking.
Emergency Contact Information
Emergency contact full name
Relationship to you
Emergency contact phone (include country code)
This number will be used for Whats App Messages
Emergency contact email
File uploads
Please upload as many documents as you have now. If you are waiting on some documents such as references etc, you can submit these after your interview with your Placement Supervisor.
CV / Resume*
Drop files here or

Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 5 MB, Max. files: 1.
Motivation Letter / Cover letter*
A typed document explaining more about yourself and why you would like to take this program

Drop files here or

Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 5 MB, Max. files: 1.

Program Application Form

Personal Information

Program Information

Visa Information

Arrival, Accommodation and Transfers

Additional Information

Emergency Contact Information

File uploads