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DVM Student Bio Information Form

Please provide the information requested on the form below to the Office of Academic Affairs. The information that is being gathered will be used by Academic Affairs for a variety of purposes such as attendance at sponsored seminars, continuing education meetings, nominations for corporate rep. positions, etc. This information will also be used by the Scholarship and Awards Committee to select award recipients. It is important that all students complete this form.

Note: Please use the TAB key to move from one field to another. The ENTER key will submit the form.

First name:
Last name:
Class:
State of residence at acceptance to VMRCVM:
County of residence at acceptance to VMRCVM:
Curricular track:
Total debt projection at end of current academic year:
Previous VMRCVM
honors and awards:
(max 300 characters)
Activities/clubs:
(max 300 characters)
Positions held
(club officer, etc):
(max 300 characters)
Main veterinary interests (species, specialties):
(max 300 characters)
Other animal activities (events, showing, volunteering):
(max 300 characters)
Career goals (practice type, desire to own or be employed by others):
(max 300 characters)
High school attended and # of students in graduating class:
Scholarship(s) that you believe you are most qualified for:
(max 600 characters)
Special circumstances you would like to be considered:
(max 1000 characters)