New Zealand/C Alma Baker Trust - Application Form 2027/28

YFC TRAVEL 2027/8

NEW ZEALAND with the

C ALMA BAKER TRUST

Application Form

To note: Only one form per member should be submitted. Members will only be interviewed for their first choice on Selection Day; a second interview will be at the discretion of the interviewing panels on the day.

FIRST CHOICE: New Zealand - C Alma Baker (Note that successful applicants MUST have an ATV Certificate to go on this trip)

C Alma Baker reserve the right to shortlist applicants for interview; please note that should you not be shortlisted for this trip, NFYFC will contact you about other options available.

YOUR PREFERRED START DATES - (YOU CAN TICK BOTH OPTIONS)

BASIC INFORMATION

Your Full Name (EXACTLY as it appears on your passport)

Please ensure you type your name exactly as it appears on your passport, including any middle names. You must provide this information in the correct format to secure a place on the trip.

Preferred name (if different)

YFC County & Club

CountyClub

2026/27 Membership Number

Date of Birth

Passport Number (located on the top right hand corner of your passport. It will begin with the letter P or L and will be followed by another letter and 7 numbers (example PA1234567)

Please provide the number EXACTLY as it appears on your passport. Your passport MUST be valid for at least six months before AND after the return date of this trip.

Passport expiry date

Please provide the date your passport expires. Your passport MUST be valid for at least six months before AND after the return date of this trip.

First year of membership

Languages spoken

Countries previously visited (including family holidays and any previous travel with YFC)

CONTACT DETAILS

Email

Your email address in this format: example@example.com

Phone Number

Please provide the best phone number to contact you on.

Secondary Phone Number

This could be your home or work line

Address

Street Address

Street Address Line 2

CityCounty

Postal Code

ICE Contact Details (who should we contact in event of an emergency)

Full Name and their relationship to you.Phone Number

Secondary ICE Contact Details (please provide a second person NFYFC can contact in event of an emergency)

Full Name and their relationship to you.Phone Number

MEDICAL INFORMATION

Are you receiving any medical treatment or on any prescribed medication?

Details of any medication to be taken; include frequency and any relevant side effects:

Please include as much detail as possible. This information will be stored securely by NFYFC and shared with the trip provider.

Have you ever suffered from any medical conditions (for example diabetes, asthma, migraine, epilepsy?

Please record any medical conditions (for example diabetes, asthma, migraine, epilepsy

Please include as much detail as possible. This information will be stored securely by NFYFC and shared with the trip provider.

Are you allergic to anything (e.g. antibiotics, penicillin, elastoplast, aspirin or any particular food etc?)

Please provide details of any allergies to anything

Please provide details of your present occupation, education & training

MORE ABOUT YOU

It is really important that you give as much information as possible about yourself under all the headings on this application form.

In the first instance interviewers will read all applications and short list those they wish to interview; your form should stand out against others applying for the same trip.

Briefly describe your YFC involvement, including positions held, awards received, programmes participated in (club, county, national) etc.

Briefly describe your interests and hobbies outside of YFC

Personal Statement - should be at least 100 words and should include: reasons for applying, expectations from a YFC travel trip and hopes for your future within YFC

Do you have a valid ATV Certificate?

If your answer is 'No' to the above question are you prepared to take a recognised course at your own expense if selected?

NAME & ADDRESS OF TWO REFEREES

1. SURNAME

FIRST NAME

HOME ADDRESS

EMAIL ADDRESS

MOBILE NUMBER

HOME TELEPHONE NUMBER

2. SURNAME

FIRST NAME

HOME ADDRESS

MOBILE NUMBER

EMAIL ADDRESS

HOME TELEPHONE NUMBER

IMPORTANT INFORMATION FOR SUBMITTING YOUR APPLICATION FORM

Application deadline is Friday 1st November 2024.

Selection day is Saturday 30th November 2024.

Selection day venue is Quality Hotel Coventry, Birmingham Road, Allesley, Coventry, CV5 9BA.

NFYFC will run a reserve list should the trip be oversubscribed. If your application does not make the shortlist, you will be added to this reserve list and contacted should a place become available on the trip.

Information submitted on this form will be shared with NFYFC Travel Staff, the trip provider (C Alma Baker) and, where relevant, the air travel provider. To view NFYFC's Privacy Policy, please click here: Privacy Policy

NFYFC will only accept applications signed by the applicant and a County Staff Member of the YFC County Office. By signing this form, you agree to abide by the YFC Code of Conduct at all times, whilst representing the National Federation of Young Farmers' Clubs both in the UK and whilst travelling abroad. Code of Conduct found here:YFC Code of Conduct

To note: Once you have travelled on a YFC travel trip you are eligible to join the Young Farmers' Ambassadors. By signing this form, you consent to being contacted by the Young Farmers' Ambassadors (YFA).

For further information please contact:

post@nfyfc.org.uk and mark your email 'FAO YFC Travel Department'

02476 857 200

YFC Travel Programme, NFYFC, YFC Office, Stoneleigh Park, Kenilworth, CV8 2LG

Once your application has been received, we will contact your County Office to ensure that you are a suitable candidate to represent NFYFC.

Signed by YFC member (information given in this application is a true & correct record)

Date