Agriprocessing Training – Online Application Please fill and submit online. Please enable JavaScript in your browser to complete this form.1Personal Information2Contact Information3Occupation Status4Interests5Education12-Week Training Programme in Running an Agri-Processing BusinessPlease note the following requirements: • Proof of identity • Proof of citizenship • Proof of (former) employment in the Tourism industry up to March 2020 • Access to an electronic device compatible with the ZOOM platform Personal InformationFull Name: *Gender: *MaleFemaleMarital Status: *Choose an itemSingleMarriedDivorced Widowed Nationality: *Country of Birth: *Age Group: *Choose an item20-25 yrs26-30 yrs31-35 yrs36-40 yrs41-45 yrs46-50 yrsAre you a citizen of Antigua & Barbuda? *YesNoAre you the head of your household? *YesNo(The head of the household is the person who bears the bulk of responsibility of providing shelter, food and other necessities.)How many persons are in your household including yourself? *Choose an item2345678910More than 10Tick all categories that apply: *Single Parent (mother / aunt / grandmother / immediate relative)Caregiver of elderly parentsCaregiver of someone with disabilitiesIf you selected "No", you are not the Head of your Household, please answer the following questions. Do you have any dependents? *YesNoIf yes, number of dependents: *Choose an item2345678910More than 10NextCurrent Home Address: *Home #: Work #:Cell #: *Email: *Next of Kin: *Relation of Next of Kin: *Contact # of Next of Kin *NextHave you worked in the Tourism Industry *YesNoIf yes, when? *Choose an itemBefore April 2020After March 2020Current Occupation Status: *Choose an itemEmployed (Full-time)Employed (Part-time)UnderemployedUnemployedOccupation / Job Title: *(If currently employed)Industry: *Choose an itemAccountingAdmin & ClericalConstruction Banking & Finance Customer ServiceEducation Engineering Executive Government Health CareHospitality Information Technology LegalManufacturing Non-Profit Proprietor RetailSeals & Marketing OtherWhat is your salary bracket? *Choose an itemLess than $2500$2500 - $3500$3501 - $5000More than $5000What are your main job functions? *Employer’s Name and Address: *Please state your reason for unemployment: *If currently unemployed)Where did you work previously? *What were your main job functions? *What was your salary bracket? *Choose an itemLess than $2500$2500 - $3500$3501 - $5000More than $5000Next Do you currently own a business? *YesNoIf yes, what goods or services do you offer? *If no, are you interested in owning your own business? *YesNo Do you have an interest in Agri-processing? *YesNoDo you have any experience with Agri-processing? *YesNo Are you interested in owning a small business which provides goods or services in Agri-processing? *YesNoNextHighest level of education attained: *Choose an itemPrimary SchoolSecondary SchoolCollege Graduate Some CollageHave you ever received formal training in the Tourism Industry? *YesNoIf yes, please specify the type of training received *Have you ever obtained a local food handlers’ certificate? *YesNoWill you be available for the duration of the course – June 7 to August 27, 2021? *YesNoToday's Date: *Proof of Identity * Click or drag a file to this area to upload. Proof of Citizenship * Click or drag a file to this area to upload. Proof of (former) employment in the Tourism industry up to March 2020 * Click or drag a file to this area to upload. Signature: * Click or drag a file to this area to upload. Submit
