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
How did you hear about St David's Poultry Team?
*
Submit
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