WWOOFER Questionnaire

PERSONAL INFORMATION
Name *
Name
Permenant Address *
Permenant Address
Phone *
Phone
EMERGENCY CONTACT INFORMATION
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Emergency Contact Address *
Emergency Contact Address
ABOUT YOUR FARM STAY
Arrival Date *
Arrival Date
Departure Date *
Departure Date
Do you have your own transportation? *
(meaning you will need to have a vehicle of some sort with you at all times at the farm)
(fyi we are vegan so other than eggs little there will be no meet in our available meals)
Do you have health insurance? *
(must be willing to show proof before arrival)
(Please be detailed as to what medical care would be needed if you are affected during your stay. Also, this farm seems to attract a large number of wasps and red ants. Please keep this in mind if you are allergic to bee stings or ant bites.)
Professional and Personal References
Please provide the following: Name, Address, Phone, email, How you know this person:
Please provide the following: Name, Address, Phone, email, How you know this person:
Would you be willing to do a phone interview? *
(a brief conversation over the phone to make sure everyone is on the same page)
list a few times you would be available to take the interview call