|
Please, mark countries, where you want to practice
|
| |
Denmark
 |
United States
 |
Canada
 |
|
|
|
|
 |
| Your photo: |
(only *.jpg files)
|
| Surname*: |
|
| Name*: |
|
| Date of birth*: |
(dd/mm/yyyy) |
| Citizenship*: |
|
| Passport: |
SN:
Date of issue:
Date of expire: |
| Place of birth: |
|
| Present address*: |
|
| Your phones*: |
|
| E-mail: |
|
| Sex*: |
Height: cm
Weight: kg
|
| Do you smoke? |
|
|
If you have specific diet, please specify:
|
|
|
If you have health problems or disability, please specify:
|
|
|
Driving licence
|
|
|
Foreign language and level (
1 - 5 ):
|
| English: |
|
| Deutsch: |
|
| Dansk: |
|
|
Other language:
|
|
|
Person, to notify in an emergency
|
| Name: |
|
| Phone: |
|
|
Information about spouse
|
| Marital status: |
|
| Name: |
|
| Previous name: |
|
| Date of birth: |
(dd/mm/yyyy) |
| Place of birth: |
|
| Date of marriage: |
(dd/mm/yyyy) |
| Address: |
|
| Phones: |
|
|
Children
|
|
|
|
Name,
date of birth,
address:
|
|
|
|
|
Father
|
| Name: |
|
| Date of birth: |
(dd/mm/yyyy) |
| Address: |
|
| Phones: |
|
|
Mother
|
| Name: |
|
| Date of birth: |
(dd/mm/yyyy) |
| Address: |
|
| Phones: |
|
|
Education and work
experience in agriculture
|
|
Education
|
|
|
|
Agricultural
School/University
|
Department |
Started
year |
Graduation
year |
Speciality |
|
|
|
|
Qualification and work experience in foreign countries:
|
|
|
Year |
Total
months |
Name and
type of farm |
Your responsibility |
|
|
|
|
Agricultural experience in your home country since 16 year:
|
|
|
Year |
Total
months |
Name and
type of farm |
Your responsibility |
|
|
|
|
Machinery experience
|
| Tractor
driving: |
|
| Combine operating: |
|
| Milking machines: |
|
|
Please, choose three branches most suitable for you, where you want to practice
|
| Area |
| Cattle |
Pigs |
Poultry |
Minks |
Plant |
Horses |
Sheep |
|
| Please mark it: 1, 2, 3... |
|
|
Other
|
| Your hobbies, and what do you do in your free
time? |
|
| Please write a little about yourself, your family, and why
you want to practice abroad? |
|
| What would you like to learn during practice? |
|
| What are your dreams for the
future? |
|
| What will you do with money
earned during your practice abroad? |
|
| Other remarks: |
|
|
|
|
|
Fields, marked with * , are obligatory for infilling.
|
