2023 iVET LOAN APPLICATION FORM

Thank you for your interest in the Illinois Farm Bureau iVET Loan program.

Interviews will be held on Tuesday, June 20, 2023, at the Illinois Farm Bureau, 1701 Towanda Avenue, Bloomington, IL 61701.

Before continuing the application process, please answer the following two necessary loan requirement questions?
Are you currently attending an accredited college of veterinary medicine in the U.S.?*

YesNo
After attaining your graduate degree, are you willing to commit to working in a food animal practice in Illinois for a 5-year period?*

YesNo

I'm sorry, you answered no to one or both of the necessary loan requirements. Answering no makes you ineligible to apply for the iVET loan.

For more information or loan eligibility requirements, please visit www.ilfb.org/ivet.
iVET LOAN APPLICATION FORM
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number

Employment History
List all the places you have been employed, beginning with your present employer.
Employer Name
Job Title
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Do you have additional employment history?

YesNo
Employer Name
Job Title
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Do you have additional employment history?

YesNo
Employer Name
Job Title
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date

PROFESSIONAL OR COMMUNITY ORGANIZATIONS
List any professional, community, and service activities you have been involved in:

TERMS OF IVET LOAN
Will you sign an agreement that indicates you are willing to accept a veterinary position in Illinois servicing clients engaged in food animal production?

YesNo
Will you sign an agreement to practice veterinary medicine in food animal production for a period of five years and six months following your successful graduation from an accredited college of veterinary medicine in the U.S.?

YesNo
PERSONAL STATEMENT
Please include a one-page personal statement which would include your goals, work ethic, and desire to become a food animal veterinarian.

Browse Files

Cancelof
PERSONAL REFERENCES
Please include at least three letters of references. These may be from former teachers, administrators, employers, or community members.
Reference letter #1

Browse Files

Cancelof
Reference letter #2

Browse Files

Cancelof
Reference letter #3

Browse Files

Cancelof

SIGNATURES
I CERTIFY THAT THE INFORMATION PROVIDED IS ACCURATE AND TRUTHFUL.

YESNO
Applicant Signature

Clear
Date

MonthDayYear
Date
NOTE: THIS APPLICATION WILL BE FORWARDED TO YOUR LOCAL COUNTY FARM BUREAU® FOR REVIEW AND SIGNATURE BY THE COUNTY FARM BUREAU® PRESIDENT.
Should be Empty:

SIGNATURES