Apprentice  Application ( Males, ages 17 – 35)

June 18-July 6

July 9-27

Bronwood, GA

Date of this application___________

Name:______________________________________

Address:____________________________

City:_______________________________State:____________Zip:___________

Phone:_____________________Fax:____________________

E-mail:_______________________ Age________ Gender________

Organization/Mosque or Study Group:_________________________________________________Phone________________

Address_____________________________City______________________________

 

Do you have any health conditions like asthma or allergies that could affect your ability to work in the fields?_____________________________________________________

 

Give us a reference so that we can check out your character: Name____________________

Phone number___________________.

 

Farm, gardening or agricultural experience______________________________________

_______________________________________________________________________

 

Essay: Why I want to come to Muhammad Farms to study:_______________________

 

 

 

 

 

 

 

Print out and fill out the above application before May 15, 2018 and send it to:

Dr. Ridgely A. Mu’min

2569 Southpoint Rd

Bronwood, GA 39826