Speckle Park Youth Exchange — Application Form
Applicant Details
Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date
Member ID
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Eligibility Declarations
I am a current Speckle Park Youth member
*
Yes
I have not previously received the Speckle Park Youth Exchange award
*
Yes
I am available to travel to Canada within two years of receiving the award, and can provide proposed travel dates within 6 months of the award being announced
*
Yes
I am willing to attend a Canadian junior show or major agricultural show as arranged
*
Yes
I am available for an interview via Microsoft Teams if shortlisted
*
Yes
I hold, or am able to obtain, a valid passport and any visa/eTA required for entry to Canada
*
Yes
I am able to travel and work independently overseas
*
Yes
I am able to attend the SPI Workshop & AGM in Armidale, 6–7 November 2026
*
Yes
If under 18 at the time of application: written parent/guardian consent is attached
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Written Responses
Tell us about your involvement in the Speckle Park breed to date
*
e.g. showing, breeding, stud work, junior committees — 200–300 words)
0/300
Why do you want to take part in the Speckle Park Youth Exchange, and what do you hope to gain from it?
*
(200–300 words)
0/300
Describe a time you showed initiative or strong work ethic in an agricultural or cattle-related setting
*
(150–250 words)
0/250
How would you represent Speckle Park International and the Australian breed community while in Canada?
*
(150–250 words)
0/250
The exchange includes a weekly public recap and a report/presentation on your return. How do you feel about sharing your experience with the broader membership, and what would you want them to take away from it?
*
(100–200 words)
0/200
Back
Next
Support & References
Resume
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Name and contact details of one referee who can speak to your involvement in the Speckle Park breed or agricultural industry
*
(e.g. stud principal, show official, agricultural teacher)
Optional: attach any supporting material
Browse Files
Drag and drop files here
Choose a file
(photos, letters of support)
Cancel
of
Back
Next
Health & Logistics Acknowledgement
I understand I (or my parent/guardian, if under 18) am responsible for arranging my own travel and medical insurance, at my own cost
*
Yes
I understand farm and livestock work carries inherent risks, and I undertake the exchange, host placement and associated activities at my own risk
*
Yes
I will disclose any relevant medical conditions and provide emergency contact details prior to travel
*
Yes
Back
Next
Declaration
I confirm the information provided in this application is true and accurate
*
Yes
I have read and agree to the Speckle Park Youth Exchange Terms and Conditions
*
Yes
I consent to SPI collecting and holding my personal information (including date of birth and, if selected, medical/emergency contact information) for the purpose of administering this exchange, in accordance with SPI's privacy obligations under the Privacy Act 1988 (Cth)
*
Yes
I consent to SPI using my photo within promotional material and on social media
*
Yes
Signature
*
Parent / Guardian Signature
*
Continue
Continue
Should be Empty: