Externship Application

Personal Information
Name *

First Name Middle Name Last Name Suffix
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
Referred By

First Name Last Name Suffix

Externship Desired
Position Desired *
Other:
Start Date *

Month Day Year
Date
End Date *

Month Day Year
Date
Total Hours Needed to Complete Externship *
How did you hear about us?
What made you choose us?
Why do you think you are the best candidate for an externship at WLVC?
Have you already accepted a position for after graduation? *

Yes No
Would you consider working for WLVC after graduation? *

Yes No
Have you applied for a WLVC externship before? *

Yes No
When *

Month Day Year
Date
Have you worked for WLVC before? *

Yes No
When *

Month Day Year
Date

Education
College
Name *
Years Attended *
Location *
Expected Graduation Date *

Month Day Year
Date
Name of Externship Coordinator *

First Name Last Name
Externship Coordinator's Email Address *
example@example.com

Availability
Expected Work Hours per Week *

Please indicate the hours/days you would be available to work. *

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
All Day
7am
8am
9am
10am
11am
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm

Work Preferences and Skills
My top two (2) motivators at work are: *

Opportunity to learn and grow professionally Challenging work Money / Compensation / Benefits Recognition from co-workers / superiors Contributing to society Scheduling (Consistency / flexibility) Contributing to organizational decisions
My top 3 skills are:
My top 3 goals are:

Upload Resume and Cover letter
Resume and Cover Letter *

Submission
West Loop Veterinary Care is a Drug-Free Workplace and Equal Opportuntiy Employer.
Type your full legal name below as an indication/representation of your Full Signature *
Today's Date

Month Day Year
Date
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