Veterinary Student Externship Application
Instructions
1. You will be asked for details about your externship/preceptorship coordinator, so please ensure you know who this is, and their phone number and email address, before starting this application.

2. Please ensure that you have read, and agree to, our rules and regulations set forth in the "Memorandum of Understanding" before beginning: http://www.aspcapro.org/sites/default/files/wysiwyg-uploads/asna_extern_mou.pdf

3. Due to the high demand of our program, we will contact you within two weeks to discuss possible training dates.

Thank you!
Personal Details
First Name *
Your answer
Last Name *
Your answer
AVMA Veterinary College Attending *
Please select from one of the following options. If your college is not listed here, it is not an AVMA-accredited college, and you are unfortunately ineligible for the program.
Home Street Address *
Not your college-based address.
Your answer
City *
Your answer
State/Province *
U.S. territories, Canadian provinces and international counties/states are located at the bottom of the list.
Zip/Postal Code *
US students: use 5-digit code (i.e., 28806); Canadian students: split 6-digit code (i.e., N1G 1P4)
Your answer
Country *
Phone Number *
Please write as: 828-252-2079 (with a dash)
Your answer
International Phone Code
Only use if your phone number is not U.S.- or Canadian-based and therefore has an international prefix (e.g., the prefix for England is +44)
Your answer
Personal Email *
Please tell us your personal (i.e., not college) account
Your answer
College Email *
Your answer
Gender *
How You Heard *
How did you hear about our Veterinary Student Externship? Please select from one of the following options.
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