University of California, Davis
Application for 2008-2009 Internship 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. Mail the internship application and all supporting application materials to:
   
   

   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

   
   
6. The Oncology Internship IS administered through the Veterinary Internship Residency Matching Program (VIRMP).
7. The Large Animal Ultrasound Internship IS NOT administered through the Veterinary Internship Residency Matching Program (VIRMP). Therefore, it is not necessary to submit the VIRMP materials.
8. The Equine Field Service Internship IS administered through the Veterinary Internship Residency Matching Program (VIRMP)
   
9. The beginning date of this program is August 1, 2008.
   

Application
(Complete application online, then print and mail along with Letter of Intent and other requested documents)

 

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.

One copy of supporting documents must accompany each application form.

Program: SELECT ONE Large Animal Ultrasound Oncology Equine Field Service

Application Date (MM/DD/YYYY):
Social Security Number (XXX-XX-XXXX):
Last (Family) Name:
First Name:
Middle Name(s)
Address
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.) Current or most recent position 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.) 2nd most recent position 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.) 3rd most recent position 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 internship.
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