Kona Biodynamic Farm Farm Exchange Worker Application Name: ________________________________ Birth date: ____/____/____ Sex: ___F ___M Mailing Address: ________________________________________________________________ ________________________________________________________________ Phone Number: _________________________ Email: ________________________________ Date you(ll arrive: _______________________ Date you(ll depart:______________________ References: Please list two individuals you(ve worked with. Name: ____________________________________ Phone: ____________________________ Where worked: _____________________________ Email:_____________________________ Name:____________________________________ Phone: ____________________________ Where worked: _____________________________ Email:_____________________________ Close relative or contact: (In case of emergency) Name:___________________________________ Phone: ____________________________ Email:___________________________________ Relationship to you: __________________ Educational background: __________________________________________________________ Hobbies and interests: ____________________________________________________________ Are you physically healthy and willing to use your strength? _______________________________ Farming and gardening experience: __________________________________________________ ______________________________________________________________________________ What are you looking for in this experience? ___________________________________________ ______________________________________________________________________________ Other skills: ____________________________________________________________________ I have read WWOOF'ing at Kona Biodynamic Farm and agree with its terms. ____________ Please attach resume and photograph (if they are available) and any additional information you(d like to share. Kona Biodynamic Farm ( PO Box 1835, Kealakekua, HI 96750 ( 808-324-7224 ( bdfarm@konapacific.org