Veterinary Technician Externship Inquiry Form

Veterinary Technician Externship Inquiry

For more information about our Technician Externship Program, please contact Lexie Conrow (Lexington) aconrow@roodandriddle.com or Jennifer Vanalphen (Saratoga & Wellington) jvanalphen@roodandriddle.com.
Hospital*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-Mail*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Emergency Contact Name *

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Program of Veterinary Technology in which you are currently enrolled*
Anticipated year of graduation*
Dates you would like to visit
Please list the dates you would like to visit in order of preference, including your preferred start and end dates in the boxes below.
1.
2.
3.
Please select your veterinary practice interests from the options below.*

Small Animal PracticeMixed PracticeLarge Animal PracticeExotic/Zoo Animal PracticeEquine Practice
Will you require housing for your requested dates?

YesNo
Please list 1-2 references and their contact information of people who are familiar with your horsehandling*
Briefly tell us about your experience with horses, other than your own, outside of technician school*
Briefly explain your expectations of your visit to Rood & Riddle Equine Hospital*
Are you interested in employment at Rood & Riddle?

YesNoMaybe
Please upload any school requirements that need to be fulfilled

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Letter of recommendation*

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Resume*

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Please upload a headshot or personal photo.

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Should be Empty: