Veterinary Student Externship Application

Veterinary Student Externship Application

For veterinary students who are currently enrolled in an AVMA accredited veterinary school program.
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
Date you can start your externship

MonthDayYear
Date
Date to stop externship

MonthDayYear
Date
Education History
What is your highest level of completed education?*

UndergraduateGraduate
Name of most recent college or university you attended:*
Name and location of veterinary school you are currently enrolled in:*
Expected graduation year from veterinary school:*
Subjects/Majors studied:
General Information
What are your general interests in veterinary medicine do you have?*

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 academic and or veterinary career thus far. These references must be reachable by phone or email.
Reference
Please attach your first letter of recommendation from this reference.

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 reference.

Your recommender can also email us directly at auroraveterinary@gmail.com
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Reference
Please upload any additional documents required to fulfill your externship experience.

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Please list any relationship to current/past staff members (Not Required). If none, just put N/A
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 externship 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 Student Externship Application

Personal Information

Education History

General Information