Student contact form

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Please complete the following form in order to register your interest to attend an EMS placement at Haywood Farm Vets.

Email *

Full name *

Date of birth *

YYYY

Mobile number *

Year of study *

We only accept students who are in their final two years of study and have a particular affinity for farm animal practice.

Penultimate year

Final year

University *

Preferred start date *

YYYY

Preferred end date *

YYYY

Learning objectives *

Please describe three learning objectives that you hope to complete during your EMS placement with us.

Previous farm experience *

E.g. lambing, milking, calving, harvest, stock handling, etc

Previous farm clinical experience *

Please list veterinary practices where you’ve gained farm animal experience

Why are you considering a career as a farm animal vet? *

Vehicle access and driving licence *

Do you have access to a vehicle you can use whilst on placement?

Yes

Anything we should know

For example, dietary or medicine related allergies.

GDPR compliance. Storage and use of personal information. *

By clicking accept you are agreeing for Haywood Farm Vets to store and use the data you have supplied in accordance with our privacy policy: https://www.haywoodfarmvets.com/privacy

I accept

Required

A copy of your responses will be emailed to the address you provided.

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