4 Month / 4 Month + / Volunteer Programmes Application Form

APPLICATION FORM
for
2nd VISA QUALIFYING FARMWORK PROGRAMME
&
4 MONTH / 4 MONTH+ PROGRAMMES
&
VOLUNTEER PROGRAMMES

The online form should take you about 15-20 minutes to complete.
Please take the time to complete it as fully as possible with relevant detail and please ensure you have the following documents with you before you start:
- Personal information (i.e. passport, driving licence)
- Travel and work insurance details

Personal information

* Indicates required field

Your name *

First

Last

Preferred known name *

Male / Female *

Your email address *

Your phone number in your home country *

Home address (including street, town, postcode and country) *

Australian mobile number (if you have one) *

Your nationality *

Which other passports do you hold if you have dual nationality ? *

Date of birth *

Passport number *

Australian Tax File Number (if you have one) *

Which programme ?

The 4 MONTH+ programme includes a 4 day welcome, arrival and set up package when you arrive at Brisbane Airport and is for participants booking and joining the programme from overseas.
The 4 MONTH programme does not include the welcome package and is for participants booking and joining the programme from within Australia.

Which programme duration are you applying for ? *

Which work type ?

We can offer some choice of work type, depending on your previous skill and experience. Please enter your preference here. If there is none, or you have no previous experience please select 'GENERAL FARM WORK'

Which work type are you most interested in ? *

SPECIAL NOTE *

2nd visa requirement ?

Do you require paid work, paid 2nd visa qualifying work, or volunteer work experience ? *

Company you are booking with ?

Name of the company or organisation who is handling your Visitoz booking (if none please write DIRECT BOOKING) *

If possible please confirm the name or email address of the person you have been working with *

Please enter any booking / offer / discount code here *

Arrival in Australia

Date you arrived / will arrive in Australia *

Date you expect / prefer to start our training course *

There are a few options as to how you can join our programme. Please select your preferred option: *

What Australian visa do you hold? *

Your visa grant number (if known) *

Visa expiry date (if known) *

Any other visa comments *

Insurance information

Your Visitoz agent or Visitoz staff can advise you about what type and level of cover you require to travel and work in Australia. This should normally be arranged at the same time as, or very soon after your programme booking with Visitoz and your flight to Australia.

Do you have work and travel insurance that covers you for farm, rural and manual work *

Please give details of your work and travel insurance company (name, policy number and emergency phone number) (if none please enter 'none yet') *

Emergency contact details

Name of emergency contact person(s) and relationship to you (i.e. parent, grandparent, guardian..) *

Emergency contact person email address(es) *

Phone numbers (mobile and landline) and please include country code *

About your work in rural Australia

How long do you intend to work in your first job with VisitOz *

Are you hoping to work with a friend / partner *

Your work experience and skills
(information that we use to create your employer profile)

We use the profile to find you a job and to introduce you to our employers. It is very important. Please give us concise answers and keep the information clear, factual and specific. It helps us greatly to know exactly what you have done, for how long, and what skills you have.
Not every field will apply to you. If this is the case, please write 'DOES NOT APPLY' and move to the next field.

Your work history and career

Please tell us a bit about your education and future education or training plans *

Please tell us about your career and career plans *

Please tell us the main parts of your work history so far *

General farm work / livestock experience

Farmwork / manual work / outdoor experience *

Driving, tractor and other machinery experience

Can you drive, do you have a full valid driving licence *

How many years have you been driving a manual car, have you driven a lot, (>500 hours) or a little *

Are you licensed to drive with a trailer (for example a horse trailer) *

Please give some information about tractors or other machinery you have driven or operated *

Motorbike and quad bike driving experience

Motorbike riding experience *

Quad bike riding experience *

Please tell us / explain about your motorbike / quad bike driving experience *

Equestrian / equine (horse) experience

What level would you describe your riding skills and experience *

Experience & skills with horses *

Practical skills, trade skills and other interests

Practical work, other skills, qualifications or interests *

Au-pair and childcare, domestic, teaching, tutoring experience

Please tell us about your skills or experience in childcare, domestic or teaching / tutoring *

Cooking and / or household duties

Please tell us about your cooking skills and abilities? *

Other special skills or interests

Please tell us about any other special skills or interests you have *

Fitness, health and other personal information ...

Please tell us about your general fitness level. *

What is your height (cm) and weight (kg) *

Do you smoke *

Please list any essential dietary requirements *

Do you have any medical conditions / mental or physical health issues / injuries / allergies / medication *

I will ensure that I have an up to date Tetanus injection prior to arriving in Australia *

What is your shoe size for work boots if required (Australian size (AUS/US) - please see the chart below) *

How good is your English ? *

Some employers require police checks. Are you willing for this to happen if required ? *

Do you have a criminal record or any outstanding or pending convictions for criminal activity? *

If you have answered YES above please explain here *

Motivation and aims

Please explain your motivation and aims for your time in Australia with this programme *

Other information

What does your luggage weigh - to the nearest 5kg *

Anything else you would like to tell us *

Supporting documents (Optional)

You may wish to include a one page summary CV (we prefer this to be kept to one concise page). Please upload it here.

Upload File Here *

Max file size: 20MB

Payment Information

Please disregard this section if you are booking with one of our Agents.

Please provide your credit card details in the section below in payment of the deposit fee of $500 (to be paid when booking) and of the remaining balance one month prior to your arrival in Australia.

Type of card *

Card holder name *

Long card number *

Expiry date *

CVC code (three numbers on the back of the card) *

I confirm that I agree to Visitoz taking payment from the payment card detailed above *

Yes

DECLARATION

PLEASE ENTER YOUR NAME ONCE AGAIN *

I confirm that the information I have provided above is true and complete in so far as it is relevant to living and working in rural Australia.

I am aware that I will need to acknowledge and agree to the programme 'Terms and Conditions' on or before arrival.

I confirm that I understand and agree to the above. *

Yes

Submit my application