HGTC Veterinary Assistant Internship Application
(complete this application if you are currently the program at HGTC)
Student Information
Student's Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you know the specific dates for your internship?
Are you legally authorized to work in the US?
Yes
No
Why are you interested in an internship with River Oaks Animal Hospital?
What are your veterinary interests and why?
Do you have veterinary experience? Have you worked in a veterinary hospital previously?
Yes
No
Describe your previous veterinary experience.
What are the day / hour requirements?
Name of Emergency Contact and Relationship to you.
Emergency Contact Phone Number
-
Area Code
Phone Number
Allergies?
How did you hear about our internship?
Does your school provide liability insurance for you during the internship?? (this is required)
Yes
No
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