2024 PIX Young Industry Delegate Program

Full name*

Please list full legal name, as if successful this will be used to book travel and accommodation arrangements. If you have a preferred name, please list this separately.

Email address*

Contact number*

Current address*

Have you attended PIX before?*

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Employer/University*

Current role in the poultry industry*

How long have you been in the poultry industry?*

What area of the Poultry Industry are you interested in?*

What items on the PIX program are of particular interest to you and why?*

Do you have an industry icon you would like to meet?*

We would like to pair you with a mentor who can help you get the most out of the experience. Please list anyone you would like to be introduced to. If you don't know a specific person, however, would like to discuss an area of interest please list details of the information you would like to learn.

How do you believe attendance at PIX will benefit you in either your current role or your future personal development.*

Max 250 words

Required attachments

Please attach a brief resume and a letter of support from either your manager or supervisor.

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