St David's Poultry Team EMS Placements
Please complete the form below in order to register your interest for EMS
Name
*
First Name
Last Name
University
*
Intended year of graduation
*
Email address:
*
Alternate email address if you've provided a university email address
example@example.com
Mobile number
*
Do you have any practical experience with poultry and/or game birds?
*
Yes
No
If yes, please provide details of your experience with poultry and/or game birds
Do you currently have any specific interests within the poultry/game industry or just a broad interest?
*
Do you have any previous EMS experience within the poultry industry?
*
Yes
No
If yes, please provide details
Do you know which field of veterinary medicine you would like to work in long term?
*
Yes
No
If yes, please specify
Do you have a valid driving licence?
*
Yes
No
Do you have access to your own vehicle?
*
Yes
No
Do you have preferred dates for your placement?
*
Do you have a preferred location for your placement?
*
Yes
No
If you answered yes to the above question, please tick which you'd prefer (select all that apply)
Edinburgh
Leominster
Northern Ireland
Exeter
Newark
Yorkshire
Submit
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