Apprentice Application for the Dairy Herd Manager Apprenticeship

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First Name*

Last Name*

Email*

Cell Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

County*

Birthdate*

Do you have a High School Diploma or GED?*

Yes, High School Diploma
Yes, GED
No

What year did you receive your High School Diploma or GED?*

Gender*

Female
Male
Do not wish to answer

Apprentice Experience

How many years of farm experience do you have?*

Current Employment:*

Current Supervisor Name and Phone Number:*

List any previous work experience.*

Why are you interested in participating in the Dairy Herd Manager Apprenticeship?*

Provide a person who would be willing to be contacted as a reference.*

Please include first and last name, their farm/or business they are associated with, and their email and cell number.

Are you willing to relocate to another part of PA for the apprenticeship?*

Yes
No

If you are willing to relocate to another part of PA, what is a reasonable distance from your current home?

Signature & Confirmation

Please check below if you have reviewed the Apprentice Expectations and agree to adhere to these guidelines.*

Yes, I have reviewed the Apprentice Expectations and agree to adhere to these guidelines.

Please check below if you confirm this application is completed honestly and accurately. By checking, you are electronically signing your application.*

I confirm that I completed this application honestly and accurately. I acknowledge this is my electronic signature.

If selected, the apprentice agrees to fulfill all the program requirements of the Dairy Herd Manager Apprenticeship. If the program requirements are not met, The Center for Dairy Excellence reserves the right to dissolve the experience with advance notice to both parties.

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