Field to Farmacy Herbal Medicine Apprenticeship Application Form & Waiver

Part 1: Contact Info

Name

First Last

Age

Pronouns

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email(Required)

Emergency Contact Name and Phone number

Part 2: Prior Clinical Experience/ Training

What is your past education or experience with herbal medicine?

Are you currently enrolled in a herbal medicine training program?

Yes

Are you currently operating a private practice and seeing clients?

Yes

If yes, how many years in practice?

Are you currently working in health care in some capacity, or have you in the past?

Yes

If yes, how many years in practice?

In what capacity or role ?

What do you plan to do with the knowledge you gain in the apprenticeship - how will you use what you learn?

Part 3: Other information

Are you applying for a live-in or live-out position?(Required)

Live-in

Live-Out

*Live-in apprentices participate in a work trade of 25 hours per week in exchange for full room and board

Which session are you applying for?(Required)

Session 1: Monday May 27th - Monday July 22nd

Session 2: Wednesday July 24th – Wednesday September 18

Dietary Restrictions:

Please list any serious food allergies

Medical Conditions:

Do you have any serious/ life-threatening medical conditions (e.g. allergies, seizures, asthma etc):

Do you have any medical conditions not listed above that may limit your ability to participate in hands-on farm work?

Anything else you would like us to know?

Agreements

Fees and Payment Schedule

$1200 for 8 weeks, (includes a $200 non-refundable deposit)

5% Early Bird Discount if fees are paid before March 30th

All fees are due within 10 days of receiving notice of acceptance into the program.

Withdrawals and Refunds

When you are accepted to the apprenticeship program, we reserve the spot just for you. Since spaces are limited, this often means we end up turning away applicants once the program is full. As such, we ask that you do your very best to commit to the program when you apply.

However, we understand that circumstances change and ask that if you do need to cancel, you let us know as soon as possible. A $200 non-refundable deposit will apply.

Anyone withdrawing from the program by the end of the first week shall be entitled to a full refund of all fees paid, less the $200 non-refundable deposit and a 25% administrative fee.

Anyone withdrawing from the program after the first week shall forfeit all fees.

House Rules

We are a non smoking site - this includes cannabis and use of e-cigarettes.

We do not eat meat and do not serve meat. Our diet is high in veggies, legumes and fruit, and low in dairy and grain. We do eat nuts and wheat as well as eggs, dairy and occasionally fish.

Please note that we cannot necessarily accommodate other restricted or specialized diet needs.

VISITORS & PETS

Overnight visitors are not allowed unless expressed permission is given by the property owners ahead of time. Day visitors are welcome on your days off only.

Sorry, but we cannot accommodate any furry loved ones at this time.

RESPONSIBILITIES OF Live-In Apprentices Apprentices are expected to complete 25 hours of work a week in exchange for full room and board. During your stay you may be asked to do a variety of tasks that may include greenhouse work, field and office work, animal husbandry, nursery crops, etc. Expect the work to be physically and mentally demanding and the conditions to vary. While you will not be pushed beyond your physical ability, we expect that you enter this experience in good overall health.

I have read and understood the agreements and house rules and commit to abide by them at all times.(Required)

Yes, I agree

I am committed to staying for the duration of the apprenticeship. If I feel there are conditions which will prevent this; I agree to bring these concerns forward to a program facilitator immediately.(Required)

Yes, I agree

I am a non-smoker(Required)

Yes, I agree

I am comfortable with the vegetarian diet on the farm(Required)

Yes, I agree

I have no significant physical or mental impediments to engaging in outdoors field work(Required)

Yes, I agree

I agree to abide by any health and safety guidelines required by Innisfree Farm, Health Canada, the BC Public health Officer and Workers Compensation Board(Required)

Yes, I agree

I agree to the payment terms and cancellation policy as outlined above(Required)

Yes, I agree

Photographic Release and Waiver

I acknowledge and accept the terms of participating in the Herbal Medicine Apprenticeship Program at Innisfree Farm. I understand the inherent risks involved, including physical exertion, exposure to weather conditions, and contact with animals.(Required)

Yes, I agree

I release Innisfree Farm, its owners, employees, and agents from liability for any injuries or damages sustained during the program. I affirm my physical fitness for the activities involved and agree to follow safety instructions.(Required)

Yes, I agree

I grant Innisfree Farm permission to use any photographs or videos taken during the program for promotional purposes without compensation.(Required)

Yes, I agree

We thank you for your interest and look forward to sharing this amazing experience with you! Once you have submitted an application we will do our very best to review it and get back to you within 2 business days. If you have any questions or concerns, please email info@cabreraclinic.com

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