Worker application form

* Required fields

First Name: *

Surname: *

Nationality: *

Date of Birth: *

Occupation: *

Gender: *

MaleFemale

Address Line 1: *

Town / City: *

Country: *

Postcode / Zipcode: *

Contactable telephone number: *

Email: *

Email confirmation: *

Are you working now?

NoYes

If yes, what is your job and please give details of roles and responsibilities?

National Insurance Number? *

Which job would you prefer? *

PickingPackingTunnelsPlanting

Do you have any other skills that are specific to farm work? *

When would you be able to work at Littywood farm?(You must be able to work a minimum of 12 weeks)

Start Date: *

End Date: *

Do you have any friends/family also applying for a job at Littywood Farm?

NoYes

If yes, please give names and dates of birth of your friends/family members?

Do you require caravan accommodation?

NoYes

Photograph: *