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 or graduate student
Date you can start shadowing*

MonthDayYear
Date
Preferred date to stop shadowing*

MonthDayYear
Date
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 auroraveterinary@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 auroraveterinary@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 Aurora Animal Care Community is not liable. 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