Application for Externship
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Externships are only for students currently enrolled in a college or university. Which type of program are you currently enrolled in?
*
Pre-vet undergraduate - BS
DVM
What college do you attend?
*
What is your major?
*
What veterinary school do you attend?
*
What year are you?
*
1
2
3
4
Where did you get your undergraduate degree?
*
Do you need housing?
*
What length of time you want to work? (1 week, 2 days, etc.)
*
Dates you are available:
*
Tell us about your previous experience. Have you volunteered, observed, interned, externed, or worked at a shelter or vet hospital before?
*
What are you looking for in an externship experience?
*
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Next
Legalities
Do you have reliable transportation to/from work?
*
Yes
No
Do you have a physical or medical condition which would limit your capacity or be aggravated by this job?
*
Yes
No
What can be done to accommodate your limitation?
*
Are you authorized to work in the U.S.?
*
Yes
No
Is this on an unrestricted basis?
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Yes
No
During the past 10 years, have you been convicted of or pled guilty or no contest to a felony offense; or within the past 2 years, of any misdemeanor; or are you presently formally charged with committing a criminal offense? Do not include traffic violations, juvenile offenses, or military convictions except by court martial. (Answering “yes” to this question will not automatically bar you from employment unless applicable law requires such action.)
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Yes
No
Please explain in the space below (details of conviction, offense, location, date, and sentence)
*
In the past three years, have you ever used any narcotics, amphetamines, or barbiturates, other than those prescribed to you by a physician?
*
Yes
No
Please explain in the space below
*
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Next
Wrapping up!
How did you find us?
*
Is there anything else you'd like us to know about you?
If you'd like to upload a resume', please do so here.
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