University of California, Davis
School of Veterinary Medicine
Veterinary Medical Teaching Hospital
Application for 2008-2009 VMTH Residency Program
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Application Instructions

  1. Complete all information requested on this application.

  2. Arrange to have an official transcript of your professional (veterinary) coursework sent to the Resident Affairs Coordinator. (If from a foreign school, please provide an English translation).

  3. A Curriculum Vitae is required.

  4. Request references from at least three sources (written in English) but not more than four, two of whom must be your clinical instructors. We will not initiate requests for references.

  5. THE DEADLINE FOR RECEIPT OF APPLICATION MATERIALS IS DECEMBER 3, 2007 except for the following programs: Radiology (November 16, 2007), Ophthalmology (November 9, 2007), Lab Animal/Primate Medicine (October 30, 2007), CAHFS (not recruiting). Mail the residency application and all supporting application materials to:

    for VMTH Residencies
    for CAHFS Residencies*
    Resident Affairs Coordinator
    Veterinary Medical Teaching Hospital
    University of California, Davis
    One Shields Avenue
    Davis, California 95616-8747
    Voice: (530) 752-2957
    FAX: (530) 752-3314
    Administrative Office
    California Animal Health & Food Safety
    School of Veterinary Medicine
    Davis, CA 95616
    Voice: (530) 752-8709
    Fax: (530) 752-5680

  6. In conjuction with this application, you must also apply to the Veterinary Internship Residency Matching Program (VIRMP)** the nationwide computer matching service sponsored by the American Association of Veterinary Clinicians for programs participating in the VIRMP. ALL APPLICANTS THAT ADHERE TO THE GUIDELINES OF THE RESIDENCY MATCHING PROGRAM WILL BE CONSIDERED. THE GENERAL VIRMP RESIDENT APPLICATION FORM IS NOT REQUIRED AS PART OF YOUR UCDAVIS PACKET.

  7. The beginning date of each program is August 1, 2008 with the exception of Laboratory Animal/Primate Medicine which begins July 1, 2008.


*This form may also be used to apply for the residency positions that are being offered by the California Animal Health & Food Safety Laboratory System (CAHFS). The deadline for submitting applications to these programs is (not recruiting). Please submit applications and inquiries to the appropriate address/telephone number listed above.

** Anesthesia, Behavior, Clinical Pathology, Dairy Production Medicine, Lab Animal/Primate Medicine, Ophthalmology, and Radiology do not participate in the matching program.

Please consult the detailed residency description for further information regarding each program.

Application
(complete application online then print [using the button at the bottom of this form] and mail along with Letter of Intent and other requested documents)

Program

The University of California, Davis and the Veterinary Medical Teaching Hospital are interested in candidates who are committed to the highest standards of scholarship and professional activities, and to the development of a campus climate that supports equality and diversity.

If applying for more than one program, submit a separate and complete application for each program. One copy of supporting documents must accompany each application form. Applications will not be processed unless one of the programs listed below is selected. Numbers in parentheses indicate number of positions available.

Application Date (MM/DD/YYYY):
Social Security Number (XXX-XX-XXXX):

VIRMP Account Number:
E-Mail address used when registering for VIRMP:
Last (Family) Name:
First Name:
Middle Name(s)
Address 1:
Address 2:

City:
State:
Postal Code:
Country:
E-Mail:
Telephone:
Cell Phone:
Fax:
School or Employment Address:
(Please limit input to 5 rows of 50 characters each.)
School or Employment Telephone:
School or Employment Fax:
(All phone numbers must be applicable from December - March)
 
     
Veterinary Education    
First Veterinary College
College Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Attendance (MM/DD/YYYY):
 From:    To:
Degree(s) Obtained:
Graduation Date:
Grade Point Average:
Grade Point Scale (5.0, 4.0, etc):
Class Rank:
Class Size:

 

Second Veterinary College (if applicable)
College Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Attendance (MM/DD/YYYY):
 From:    To:
Degree(s) Obtained:
Graduation Date:
Grade Point Average:
Grade Point Scale (5.0, 4.0, etc):
Class Rank:
Class Size:
   
Veterinary Practice Work Experience (since acceptance to veterinary school)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
 From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
 From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
 From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)
     
Honors and Awards (related to veterinary medicine)
     
Special Interests (related to veterinary medicine)
     
References    
Reference 1
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 2
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 3
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 4
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:
 
Letter of Intent      
Attach separate sheets on which you describe your professional goals and what you expect from a residency.
 
I hereby certify that these statements are true and correct to the best of my knowledge and that my misstatements will be cause for rejection of this application.
     
     
     
Signature
Date