Externship Application

South Carolina Veterinary Specialists and Emergency Care offers an externship program for veterinary students in their 3rd or 4th year to help their clinical training and expand their level of experience. We practice high-quality medicine using state-of-the-art technology at one of the largest veterinary hospitals in South Carolina. Veterinary students may apply for an externship lasting 2-6 weeks.

Externships are available in the following departments:

-Internal Medicine

-Cardiology

-Dermatology

-Oncology

-Emergency Medicine

We try to limit one extern at a time per department to allow maximum benefit to the student. There is flexability with the amount of time per department (if more than one department will be rotated through), but your preferred time cannot be guaranteed due to scheduling. There are also some weeks out of the year some departments won’t be available due to conferences (ACVIM, VCS) and prior commitments. Please allow us up to 4 weeks to process your application.

All costs and arrangements for travel, accommodations, and food are the student’s responsibility.

Proof of liability insurance and health insurance is required prior to your start date. Please submit a CV with 3 references (including your relationship to them) with your application. You will also be required to sign an Acknowledgment and Release Waiver before starting.

We want you to get the most out of your experience with us. This will require you to be an involved and enthusiatic team player! Let us know if you have any special interests or objectives you wish to accomplish while here.

Please contact us with any questions you have about our program or hospital.

Checklist for Application:

___ completed application with CV and 3 listed references

___ proof of liability insurance and health insurance

___ signed Acknowledgment and Release Waiver

We will let you know your attire guidelines, hourly schedule, and where to go for orientation about 2 weeks before your start date.

First name: Click here to enter text.Last name: Click here to enter text.

Gender: F ☐ M ☐

Address: Click here to enter text.

City: Click here to enter text. State: Click here to enter text. Zip/postal code: Click here to enter text.

Phone: Click here to enter text. Email Address: Click here to enter text.

Emergency contact: Click here to enter text.

Relationship of contact: Click here to enter text.Phone: Click here to enter text.

Address of Contact: Click here to enter text.

Veterinary Institution Currently Attending: Click here to enter text.

Graduating Class of: Click here to enter text.

Name of Program Coordinator or Dean: Click here to enter text.Phone: Click here to enter text.

Program Coordinator or Dean’s Signature: ______Date:______

Email Address:______Fax #:______

Please provide 3 separate choices of dates for your visit:

Total Number of Weeks Requested: Click here to enter text.

1st Choice: From Click here to enter text.To Click here to enter text.

2nd Choice: From Click here to enter text.To Click here to enter text.

3rd Choice: From Click here to enter text.To Click here to enter text.

Please choose which service(s) you would like to rotate through and your preference for how many weeks in each. Services available are Internal Medicine, Oncology, Cardiology, Dermatology, and Emergency Medicine

Choice of Service #1: Click here to enter text.Weeks of Rotation: Click here to enter text.

Choice of Service #2: Click here to enter text. Weeks of Rotation: Click here to enter text.

EXTERNSHIP ACKNOWLEDGMENT AND RELEASE WAIVER

I acknowledge and understand that acceptance to and participation in South Carolina Veterinary Specialists and Emergency Care’s student externship program does not make me an employee of the company. I further understand and agree that the externship does not entitle me to any monetary or non-monetary (i.e, payment in kind) compensation or any benefits. I will be solely responsible for any injury sustained by me while I am present on the hospital premises, traveling in a vehicle or participating in any other off-site activity regardless of location. I hereby release South Carolina Veterinary Specialists and Emergency Care from all claims, injuries, liabilities, costs and expenses (including attorneys’ fees) arising out of my externship. Further, I understand and agree that I am providing assistance without any express or implied promise of further employment.

I further understand and agree that I will not post any patient or other information relating to my visit to SCVSEC on Facebook, Instagram, Twitter, or any other internet website. I further understand and agree that I will not blog about events that take place within the Hospital. I agree to these restrictions because I understand that I do not have a right to publish any client/patient confidential information nor do I have the right to bring any publicity to South Carolina Veterinary Specialists and Emergency Care.

I represent that I am a student in good standing at ______(name of school) and have not had prior nor do I currently have any disciplinary actions at my school.

I understand and acknowledge that I have carefully read the Agreement and I understand the terms and conditions of the waiver, and that I am voluntarily entering into it and not in reliance on any statements or promises by South Carolina Veterinary Specialists and Emergency Care other than those contained herein.

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EXTERN SIGNATUREPRINT NAME

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DATE