Internship / Externship Application

Internship / Externship APPLICATION

This form will take about 10 minutes to complete.
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status
Date

MonthDayYear
Date
GENERAL INFORMATION
What position are you applying for? *
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
How long have you lived in the Hampton Roads Area?
Please tell us about your ties to the Hampton Roads / Tidewater Area
Are You Currently Enrolled in a College or University?*

YesNo
Do you smoke or vape ?*

YesNo
Are you at least 18 years of age or older?*

YesNo
Are you at least 21 years of age or older?*

YesNo
Have you ever filed an application with us before?*

YesNo
If Yes, when?
Have you ever worked In a Veterinary Hospital or Shelter?*

YesNo
Please describe your experience in a veterinary hospital or shelter.

Please tell us what you would like to experience during your time at Hilton Animal Hospital
How did you hear about us? *
Why are you seeking a internship / externship or shadowing in our practice?
Please describe what educational experience you are seeking with us?
When would your prospective start date be?
When would your end date be ?

EDUCATION INFORMATION
HIGH SCHOOL
Name & City/State of High School
Graduation Year:
GPA
Undergtaduate COLLEGE OR UNIVERSITY
Name & City/State of College or University
Course of Study/ Degree Earned
Did you graduate?

YesNoAttending
GPA
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Veterinary School / Graduate School
Name & City/State of University
Course of Study/ Degree Earned
Did you graduate?

YesNoAttending
GPA
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Please describe any special qualifications you may have to work with animals or in a Veterinary Hospital
You should offer me a inter / extern / shadow position because...*
Optional: Upload your Resume if you have one
Resume

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Cover Letter

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Internship / Externship APPLICATION