River Oaks Externship Application
Student Information
Student's Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you know the specific dates for your externship?
Are you legally authorized to work in the US?
Yes
No
What school are you currently attending?
What is your anticipated graduation year?
2023
2024
2025
2026
What is your GPA? If your school does not use GPA, please provide class rank.
Why are you interested in an externship with River Oaks Animal Hospital?
What are your veterinary interests and why?
Type a question
Desired region post graduation?
Southeast (AL, FL, GA, KY, NC, SC, TN, VA, WV)
Northeast (CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT)
Midwest (IL, IN, MI, OH, WI)
Southwest (AZ, AR, CA, LA, MS, NV, NM, OK, TX, UT, WY)
West (AK, CO, HI, ID, MT, OR, WA)
Are you interested in post-graduate employment with River Oaks Animal Hospital?
Yes
No
Maybe
Will this externship count as credit?
Yes
No
If this externship will count as credit, what are the day / hour requirements? If this does not apply please write N/A
River Oaks Animal Hospital provides housing assistance for those that do not have housing available within 10 miles of the clinic. Do you need accommodations?
Yes
No
River Oaks Animal Hospital will provide accommodations during your externship. You will be responsible for your travel expenses and meals (there will be meals with the doctors and team). Know this, are you willing to travel for your externship?
Yes
No
Name of Emergency Contact and Relationship to you.
Emergency Contact Phone Number
-
Area Code
Phone Number
Allergies?
T Shirt Size
XS
S
M
L
XL
XXL
How did you hear about our externship?
Do you have professional liability insurance through the AVMA PLIT Student Program? (this is required for the externship)
Yes
No
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