Aquatic Veterinary Educational Opportunity Listing

To have your program listed and distributed to veterinary students and veterinary graduates seeking to advance their education or experience in aquatic veterinary medicine, please complete the following information and return this form to or .

Person completing this form (to request information clarification, if necessary – will not be included in listing)
Date submitted: Click here to enter text.
Name: Click here to enter text.
e-Mail: Click here to enter text.
Phone: Click here to enter text.
Organization or Institution
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Location (City, State/Province, Country)
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Educational program type (if more than one program is available, please complete a separate form for each)
Select one from dropdown list
Is this program associated with a recognized veterinary school or university? ☐ Yes ☐ No
If Yes, please specify vet school/university: Click here to enter text.
Program Title & General Description (please be succinct)
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Duration (how long an individual the applicant will participate, if appropriate add start date/s)
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Applicant Requirements (qualification or other experience required)
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Applicant Duties (what the individual is expected to do)
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Application Process (what applicants need to do, and deadlines for applications)
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Financial Support or Requirements
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More Information about this program (website and/or person with contact information)
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Suggestions for contacting other organizations with aquatic veterinary educational opportunities (organization & contact person’s name, e-mail and phone)
Suggestions for contacting other organizations with aquatic veterinary educational opportunities (organization & contact person’s name, e-mail and phone)
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Optional Information
Might your organization be interested in a charitable, tax-deductible donation for supporting the WAVMA/AVMA/AVMF “Veterinary Student & New Graduate Education Awards Program” to assist suitable candidates participate in externships, internships, residencies and other aquatic veterinary educational programs?
☐ Yes; ☐ No (If yes, we will provide you with additional information).
For Administrative Use Only
Where listed & date: Click here to enter text.
Additional contact follow-up & date: Click here to enter text.
Scholarship information provided & date: Click here to enter text.
Update renewal sent & date: Click here to enter text.

January 2014