H2A application for work in USA Please enable JavaScript in your browser to complete this form.Full Name / Volle Name *FirstLastTitle *Mr.Mrs.Ms.Email *Cell Phone Nr / Selfoon No *Gender/Geslag *Male/ManlikFemale/VroulikDo you have a Criminal Record? / Het jy 'n kriminele rekord? (If you have lets resolve it sooner than later in the process *YesNoID Number (Slegs 13 Digits / Only 13 Digits) *Date Of Birth *mm/dd/yyNationality / Nationaliteit *Current Location *South AfricaUSASwazilandMozambiqueOtherPrevious Employers – References1. Previous Employer *Contact Person *FirstLastEmail *2. Previous Employer *Contact Person *FirstLastEmail *Do you have ANY farming Experience? *YesNoPlease choose the skills below in which you offer FIRST-HAND FARMING EXPERIENCE (proof of experience might be required). You can choose ALL the skills that apply to you *General Farming ExperienceTruck DrivingMechanicalTradeMining ExperienceNursery ExperienceIf you have NO FARMING experience – Please state your Current career. *License/ Lisensie (Choose all those relevant) *EC (Kode 14)EC1 (Kode 10)Kode B/Code BKode EB/Code EBCDL-USA LicenseUSA – OtherWhich of the following are your strongest skills? (Choose 3) / Watter van die volgende is jou sterkste skill? (Kies 3) *Crop Farming(maize, wheat etc) / Saai Boerdery(mielies,koring ens)Cattle / Bees BoerderyTruck Driving / Trok RyMechanical / MeganiesSprayer / SpreierManure Handling / Manure HanteringHorticulture, Nurseries / KwekeryeHarvest / Oes (Stroop)Manure SpreadingSilage / KuilvoerIrrigation / BesproeiingPivots / SpilpunteNone or Limited / Geen of BeperkIf Livestock Farming is a strong skill, which of the following aspects do you have experience with? / As jy goeie ondervinding het in Vee Boerdery watter van die volgende aspekte het jy goeie ondervinding in? *Pig Farming / Vark BoerderyChicken Farming / Hoender-Fisant BoerderyHorses / PerdeAquaponicsCattle / BeesKI / Artificial InseminationRepro ScanInspuit / InjectionsBranding / BrandmerkEar tag / OormerkNone / GeenOther / AnderIf Crop Farming is a strong skill, which of the following crops do you have experience with? / As jy goeie ondervinding het in Saaiboerdery water van die volgende gewasse het jy ondervinding in? *Corn / MieliesWheat / KoringRice/ RysCotton / KatoenBeans / BoneSweet Potatoes / PatatsSugarbeet / SuikerbeetPeas / ErtjiesCanolaAlfalfaPeanutsVegetable / GroenteFruit / VrugtePecansNone / GeenWhat level of Mechanical skills do you have? Wat is jou vlak van meganiese 'skills'? *Can do the basics / Kan die basiese doenSkilled, but unqualified / ‘Skilled’ maar het nie sertifikateSkilled and qualified / Het sertifikateWhich of the following aspects do you have good experience with? / Watter van die volgende aspekte het jy goeie ondervinding in? *Pumps / PompeElectrical / ElektriesWelding – MIGWelding – TICWelding – ARCPlumbingWoodwork / Hout WerkConstruction, Mining / Konstruksie, MynDrilling, Bore hole / Boor, BoorgatNone / GeenWhat farm vehicle skills do you have? / Watter voertuig ondervinding het jy? *TractorCombine HarvesterSelf Propelled SprayerTruckEarth Moving EquipmentTLBGPS (Global Positioning System)Geen / NoneWhich Country do you have farming experience in? / In watter lande het jy plaas ondervinding? *SAUSASA & USAExperience in Years / Ondervinding in jare *Do you smoke? / Rook jy? *YesNoSubmit