It is recommended that you prepare your essays in advance, then copy them into the blanks.
Please print before submitting.
Your Information |
Title : | |
First Name : | |
Last Name : | |
AVMA Member ID (if applicable) : | |
Address : | |
| |
City/Town : | |
State : | |
Zip Code : | |
County : | |
Phone Number : | |
Email Address : | |
Rural Veterinary Practice in September 2010 |
Name : | |
Address : | |
| |
City/Town : | |
State : | |
Zip Code : | |
Phone Number : | |
Email Address : | |
Practice Start Date (mm/dd/yyyy) : | |
Education |
College of Veterinary Medicine : | |
Graduation Year : | |
GPA : | |
Curriculum Track : | |
If other : | |
Experience |
Accreditations & Dates (if applicable) : |
Current Veterinary License State and Expiration : | |
Courses that exceed regular veterinary curricula that could include but are not limited to the following subjects : Nutrition
Food system production
Population-based medicine/herd health
Livestock biosecurity
Diseases of beef cattle/dairy cattle/swine/poultry/small ruminants/strategies and options for their prevention and control
Foreign animal disease diagnosis in food animals
Food production/animal health information systems
Public health
Disease surveillance and management systems of food animal medicine and production
Integration of veterinary medical skills into husbandry and management practices of food animal production
Animal welfare for food animal production
Agribusiness
Rural sociology
Other |
Mentored Preceptorship with a food animal practice
during your fourth year of veterinary school |
Location : | |
Current Qualified Loan Debt : | |
Total grant monies received from similar programs (if applicable) : | |
Short Essays (Limit 600 characters)
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Provide experiences illustrating your passion for food animal veterinary medicine. |
Describe your career plan. |
Describe your business acumen, education, skills, knowledge and interest. |
Describe how your communication and interpersonal skills will be used in your career. |
Share your knowledge and skills associated with agribusiness/small business veterinary medicine. |
Relay your previous leadership and participation in livestock organizations. |
All participants funding this grant will have access to contact and demographic information of program applicants and recipients, and all participating individuals and organizations' names/logos will be included on all promotional/educational materials associated with this program.
Certification of Accuracy of Information Provided
I certify that the information given in this application is true, complete, and accurate to the best of my knowledge and does not omit any material fact that would render the statement false, fictitious, or fraudulent as a result of the omission. I understand that the information given may be investigated and that any false representation is sufficient cause for rejection of the application, or, if awarded grant, that I am liable for return of all awarded funds. |
I agree |
