InterExchange

APPLICATION FORM

Visitoz / Australian Working Adventures
Rural and Outback Work Programmes

100 Wall Street, Suite 301
New York, NY 10005 USA
Ph. (212) 924-0446
E. jbridge@interexchange.org

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 details.

It will help to have access to
1. Passport and driving licence information
2. A digital copy of your CV
3. A recent head and shoulders photograph

Personal information

* Indicates required field

Your name *

First

Last

Preferred known name *

Male / Female *

Your email address *

Your home phone number *

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

Australian mobile number (if you have one) *

Your Nationality *

Date of birth *

Passport number *

The organisation you are booking with

Please confirm the name of the company or organisation who has referred you to Visitoz *

How / where did you hear about us *

Visitoz programme information

What programme duration are you interested in? *

What programme (specialisation) are you most interested in ? *

Arrival in Australia

With what type of Visa will you travel to Australia *

Date you will arrive in Australia *

Date you intend / expect to start our training course *

Motivation and aims

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

About your work in rural Australia

Approximately how long are you planning to be in Australia? *

Are you hoping to work with a friend / partner *

How long do you plan / expect to work for *

Types of work

Please explain what type of work you hope to do in rural Australia *

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 the main parts of your work history so far *

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

Please tell us about your career and career plans *

General farm work / livestock experience

Farmwork / manual work / outdoor experience *

Driving, tractor and other vehicle or 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 *

Photos and movies showing your riding ability (can also be sent later)

Please upload one or two photos of your riding horses (at your highest ability level) *

Max file size: 20MB

If you have a you tube link for a video of you riding you can add it here. This may also be useful to a potential employer. *

Practical skills, trade skills and other interests

Practical work, other skills, qualifications or interests *

Hospitality, au-pair and childcare, cooking, domestic, teaching, tutoring experience

Please tell us about your skills or experience in hospitality / cooking / teaching / childcare *

Other special skills or interests

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

Medical and other personal information ...

How good is your English ? *

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

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

Please tell us about your general fitness level. *

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 *

Do you smoke *

Emergency contact details

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

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') *

Other information

Anything else you would like to tell us about your plans? *

Supporting documents
Here you may upload various documents. Please include:
1. A one page summary CV (we prefer this to be kept to one concise page)
2. A recent and representative head and shoulders photograph

Upload File Here *

Max file size: 20MB

Upload File Here *

Max file size: 20MB

DECLARATION

PLEASE ENTER YOUR NAME ONCE AGAIN *

I understand that this application form will be submitted to the Agent representing Visitoz, and that the information will be passed to Visitoz for assessment.

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 confirm that I have been made aware of the information on the 'Joining Info' pages on the visitozapplications.org website and am aware that I will be required to submit a signed copy of the 'Terms and Conditions' document to complete my application.

I confirm that I understand and agree to the above *

Yes

Submit my application

Personal information

Types of work ​

Insurance information

Types of work