Application Form
FOR INTERNSHIP AND APPRENTICESHIP PROGRAMS Mail completed form to: North Carolina Ginseng & Goldenseal Co. Eagle Feather Farm 300 Indigo Bunting Lane, Marshall, NC 28753 NAME:  ____________________________________________________________ ADDRESS: __________________________________________________________ CITY: ______________________________________ STATE: _______________ ZIP: __________ E-Mail: _____________________________________________________ Telephone: __________________________________________________ Please answer the following questions and return to Eagle Feather Farm. (Use reverse side if needed, for any answer). 1.  What is your formal and informal background in medicinal herbs?       2. What is your experience working on a farm?       3. What is your experience working independently?     4.  What specifically would you like to learn from interning at Eagle  Feather Organic Farm?      5. When will you be able to come for a visit? (Before the beginning of the internship or Apprentice Program.)       Date(s) _____________________  6. (Internship applicants only:) When would you like to begin (date and time) and how long an  internship would you like?      (Date and time) _____________________   7. (Apprenticeship applicants only:) When would you like to begin, and how are you going to support yourself during the program.     Date(s) _____________________

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	This information provided by:  North Carolina Ginseng & Goldenseal Company  Robert A. Eidus, President  300 Indigo Bunting Lane, Marshall, NC 28753  (828) 649-3536  robert@ncgoldenseal.com