2019 ICMJ Northern Conference Application Form Question Title * 1. Name OK Question Title * 2. Date of Birth Date / Time OK Question Title * 3. Gender Male Female Prefer not to specify OK Question Title * 4. Email address OK Question Title * 5. Postal Address OK Question Title * 6. Which University or College do you attend (if applicable) OK Question Title * 7. Name of your business or employer (if applicable) OK Question Title * 8. What are you currently studying (course name)? (if applicable) OK Question Title * 9. What is your current role in industry (employed position name)? (if applicable) OK Question Title * 10. Why do you wish to attend this program? What do you see as the benefits to you? OK Question Title * 11. What are your current career plans? OK Question Title * 12. Which industries are you interested in? (select all that apply) Livestock production livestock marketing (agent) Meat inspection/grading Meat marketing/trading School education (teaching) Agricultural engineering Producer extension/consultancy Livestock genetics Meat processing (working within abattoirs) Animal nutrition Butchery/retailing Research Veterinarian Agribusiness Quality assurance/lab technician Further Study (eg PhD) Other (please specify) OK Question Title * 13. ICMJ Behaviour Code of Conduct STUDENTS MUST APPROVE THIS Please read the code of conduct below: I certify that I am eligible to compete in the Australian Intercollegiate Meat Judging northern competition and agree to abide by the rules of the competition, as set out in the Australian ICMJ Operations Manual and the below Code of Behaviour 1. Coaches or supervisors are to ensure all students are aware of the Behaviour Code of Conduct and that they represent their college/university/workplace in a responsible manner 2. Students are reminded that their behaviour throughout the ICMJ workshop can reflect on them personally with industry representatives presernt at ICMJ. 3. All functions are compulsory for all students. 4. There is to be no socialising in the outdoors areas within the accommodation grounds after 9pm. 5. If students wish to stay up past 9pm, they are to do so in their respective common area within their own accommodation residence. 6. Students are to be considerate of others when returning to their rooms at night 7. Excessive consumption of alcohol or any use of illegal substances will not be tolerated 9. Any damage to the rooms or accommodation facilities will be repaired at a cost to the student responsible 10. In the event of a breach of the Behaviour Code of Conduct, the student/s and their coach will be asked to explain their behaviour to an ICMJ committee member. The outcome could result in disqualification from the ICMJ Contest and is at the discretion of two members of the Executive – President, Secretary, Treasurer, Chief Steward.I agree to these terms and conditions* Yes No OK Question Title * 14. I agree to becoming a member of ICMJ and agree to the Constitution Yes OK Question Title * 15. I give permission to ICMJ to place my details on a database to receive industry information and employment opportunities. Yes No OK Question Title * 16. I give permission for any photos of me from the ICMJ workshop to be published or used in marketing material including the ICMJ website and social media accounts including Facebook and Twitter. Yes No OK DONE