Nomination Form - Canadian Poultry MagazineCanadian Poultry Magazine

Welcome to Canadian Poultry Magazine’s Top 4 Under 40 Recognition Program.

Please complete the form to nominate an outstanding young farmer or poultry industry professional that you know.
Please remember to include as much detail as possible to help your nominee stand out among the many we will receive.
Best of luck to all of our nominees.

Nominations close at 11:59 pm on Friday, May 31, 2024

Name of nominee*
First Last
Birth Date*
MM slash DD slash YYYY
Name of Farm/Employer*
Location of Farm/Employer*
City, Province
Job Title*
Your relationship with the nominee?*
How long has this person worked in the Poultry Industry?*
Leadership*
How has the nominee demonstrated leadership on-farm or in their position?
Innovation*
How has the nominee embraced innovation?
Industry and community involvement*
How has the nominee gone the extra mile to support both their industry and community?
Nominated by*
Your Email*
All entries should be accompanied by one high-resolution photos of the nominee.
Images*
Accepted file types: jpg, png, Max. file size: 32 MB.

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