For Workers – AGRIBRIDGE WORKFORCE

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About
For Farmers
For Workers
Contact

FARMWORK USA

Legal farm worker placement between South Africa
and the United States

APPLY FOR H-2A FARM WORK

IMPORTANT: This form is for South African workers seeking legal seasonal farm work in the United States under the H-2A Program. Applicants must be eligible for temporary agricultural employment in the USA.

First Name *

Last Name *

Middle Name *

Date of Birth *

Gender *

Male Female No Preference

Nationality *

Country of Residence *

Passport Number *

Passport Expiry Date *

National ID Number (Optional)

Email *

Mobile Number *

WhatsApp Number

Home Address

City

Province / State

Postal Code

Current Employment Status

Current Employer

Current Job Title

Years of Agricultural Experience *

Additional Skills

Agricultural Experience

Fruit Farming Vegetable Farming Dairy Livestock Poultry Greenhouse Vineyard Irrigation Machinery Operation Tractor Driving Harvesting General Farm Work Other

Driving Licence

Yes No

Licence Number

Licence Type

Upload Driving Licence

Languages Spoken

English Afrikaans Zulu Xhosa Other

Highest Education Level

Agricultural Qualification

Other Certifications

Yes No

Upload Certificate

First Aid Certificate

Yes No

Forklift Licence

Yes No

Heavy Machinery Experience

Yes No

Available From *

Available Until

Willing to Relocate?

Willing to Travel Internationally?

Previously Worked in USA?

Yes No

Employer

Year

Visa Type

H-2A H-2B J-1 B1/B2 Other

Reference 1

Company

Position

Phone

Reference 2

Company

Position

Phone

Upload CV / Resume *

Upload Passport Copy *

Upload Profile Photo *

Upload Introduction Video (Optional)

Upload Driver Licence

Upload Certificates

Upload Additional Documents

Do you have any medical conditions affecting farm work?

Yes No

If Yes Describe

Have you ever been convicted of a criminal offence?

Yes No

If Yes Explain

I certify that all information provided is true and accurate. I authorize AgriBridge to verify my information. I agree to the Privacy Policy and Terms.

Connecting American farms with pre-screened South African agricultural workers. Managed end-to-end — from application to arrival.

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contact@agribridge.com
Denver, Colorado · United States

BRINGING SOUTH AFRICAN SKILL TO AMERICAN FARMS