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Pfizer Animal Health Scholarship Photo Approval

 Recipient Information and Photo

Student Name : 
Student College of Veterinary Medicine : 
Class Year : 
Student School Email Address : 
Student Home Email Address
(will not display on website) : 
Upload recent photo for promotional materials.
Image must be in jpg format and no larger than 2000x3000 pixels (6 Megapixels) in size.
Include my photo on Pfizer and AVMF websites : 
 Yes
 No
Note of Appreciation
(250 words or less) : 
Comments
(250 words or less) :