Veterinary Shadow Application Form

Veterinary Shadow Application

For Highschool and Undergraduate/Graduate Students interested in pursuing Veterinary School
Personal Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current education status:*

High School StudentUndergraduate StudentGraduate Student
Date you can start shadowing*

MonthDayYear
Date
Preferred date to stop shadowing*

MonthDayYear
Date
Acknowledgement Agreement: I Understand that shadowing spots fill up quickly and that filling out this form does not guarantee a spot (especially if filled out last minute).*

I understand I may not get a shadow spot
Education History
Name of high school and graduation year:*
If you have not graduated High School yet please put your expected graduation date above.
Name and location of College or University attended:*
If you have not started higher education please put N/A in the space above.
Expected graduation year:*
Subjects/Majors studied:
Leave blank if you have not started higher education.
General Information
Why do you want to shadow a veterinarian? What interests you about veterinary medicine and what do you hope to get out of this experience?:*
What general interests in veterinary medicine do you have and or what would like to shadow?*

Surgical ProceduresOral Care/ COHATCanine RehabilitationSmall Animal (canine/feline)Exotics and pocket pets (birds, reptiles, small mammal)
Please attach your resume. *

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References

Please list two (2) references that are familiar with your pursuit of veterinary medicine or general employment. These references must be reachable by phone or email.
Reference*
Please attach your first letter of recommendation from this person.*

Your recommender can also email us directly at aurorak9fit@gmail.com.
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Reference*
Please attach your second letter of recommendation from this person.*

Your recommender can also email us directly at aurorak9fit@gmail.com
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Please explain what led you to our veterinary practice.*
AUTHORIZATION

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if chosen to shadow, I am expected to act in a professional manner around fellow team members, clients, and their pets. I understand that if any inappropriate behavior is witnessed my shadow experience may be terminated subject to the decisions of Aurora Animal Care Community and their employees. I also understand that I will be working in an environment with live animals and that if any injury were to occur at any of our locations, Aurora Animal Care Community is not liable in any way. By signing below, I am verifying that I understand what is written above.
Signature*

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Veterinary Shadow Application

Personal Information

Education History

General Information