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
*
DVM/VMD Externship
Veterinary Technician Externship
Other
Location Desired
*
West Loop
Streeterville
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.
*
Rows
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
Please verify that you are human
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