KulturLife - 7174

APPLICATION FORM
for
KulturLife

Visitoz Australian 365 Day Rural and Outback Work Programme

Max-Giese-Straße 22
D-24116 Kiel
Tel.: +49 (0)431 88814-28
Fax: +49 (0)431 88814-19
andreas@kultur-life.de
www.kultur-life.de

This programme provides you with our training course and a series of guaranteed jobs for one year from the date you start your training course.
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)
- Head and shoulders photograph to upload
- A photograph of you riding a horse (if applicable)

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 *

Your national Tax Identification Number (in your home country) *

How you first heard about Visitoz

How / where did you hear about us *

Please add any details about how you heard about us *

The organisation you are booking with

Please confirm the name of the company or organisation who is handling your Visitoz booking *

Please confirm the name and email address of the person you have been working with *

Visitoz programme information

What is the name of the programme you are applying to join *

What programme duration are you interested in? *

Arrival in Australia

Date you arrived / will arrive in Australia *

Flight number, arrival time and terminal (domestic or international) of your arrival at Brisbane airport (if known-you can tell us later) *

Date you expect to start our training course *

With what type of Visa will you travel to Australia *

If you have your visa already please add the details here. If not please leave this blank.

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

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 *

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 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, domestic, teaching, tutoring experience

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

Please tell us about your general fitness level. *

Do you smoke *

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 *

Types of work

Please check each of the categories types of work that you hope to be able to do while in Australia. Tick all that apply.

Please add any further information about work you hope to do in rural Australia *

Other information

Anything else you would like to tell us *

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 signed copy of the Visitoz terms and conditions.
3. A recent and representative head and shoulders photograph
4. A copy of the photo page of the passport you will travel to Australia with (this is required to open an Australian bank account)

Upload Files Here *

Max file size: 20MB

Upload File Here *

Max file size: 20MB

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

Insurance information

Types of work ​

Types of work