Veterinary Career Pathway Program Scholarship Application
Kaua'i North Shore Animal Clinic | In Partnership with Penn Foster
Applicant's Full Name
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First Name
Middle Name
Last Name
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email Address
*
example@example.com
High School Attended:
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Graduation Year:
Are you 18 years of age or older?
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Yes
No
Do you have your own reliable transportation?
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Yes
No
What interests you about working with animals or pursuing a veterinary career?
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Why do you want to be a part of this program? What do you hope to gain?
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Describe a time you’ve taken responsibility, worked hard, or shown commitment to a goal.
*
Are you currently working or involved in any extracurriculars? If yes, please list.
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What are your future goals — educational or career-related — over the next few years?
*
Days you are available to work:
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Available Start Date
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/
Month
/
Day
Year
Date
Professional Reference #1
*
First Name
Last Name
Reference #1 Phone Number
*
Please enter a valid phone number.
Professional Reference #2
*
First Name
Last Name
Reference #2 Phone Number
*
Please enter a valid phone number.
I understand that if accepted, I will be a paid employee at Kaua’i North Shore Animal Clinic and am expected to actively participate in the Penn Foster Veterinary Assistant Program with the goal of certification within 12 months.
*
I certify that the information provided is true to the best of my knowledge.
*
Signature
*
Upload Your Resume (please ensure your resume is up to date)
*
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