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Veterinary Externship Application

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Emergency Contact: Name and Phone Number *

Anticipated Graduation Date *

Please indicate you level of comfort and experience with the following procedures:

(this is only for our knowledge to have an idea of where you are starting from)

Dog Spays

Dog Spay Comfort Level *

Never Done

Need More Experience

Comfortable

Very Comfortable

Number Performed *

0

0-5

6-10

More than 10

Please explain your answers, where have you performed these surgeries, did you have supervision etc... *

Dog Neuters

Dog Neuter Comfort Level *

Never Done

Need More Experience

Comfortable

Very Comfortable

Number Performed *

0

0-5

6-10

More than 10

Please explain your answers, where have you performed these surgeries, did you have supervision etc... *

Cat Spays

Cat Spay Comfort Level *

Never Done

Need More Experience

Comfortable

Very Comfortable

Number Performed *

0

0-5

6-10

More than 10

Please explain your answers, where have you performed these surgeries, did you have supervision etc... *

Cat Neuters

Cat Neuter Comfort Level *

Never Done

Need More Experience

Comfortable

Very Comfortable

Number Performed *

0

0-5

6-10

More than 10

Please explain your answers, where have you performed these surgeries, did you have supervision etc... *

Please tell us why you are interested in an externship with the Wisconsin Community Veterinary Center and what you hope to get from your time with us. *

Two-Week Rotation Registration

Please click on the link below to sign up for available dates. We ask that you spend two weeks with us, including at least one Saturday during your rotation.

https://www.signupgenius.com/go/60B0845ACAA5-veterinary1

Once you have registered for your rotation, you are set! We will contact you in the month prior to your visit with important information and links to videos and other helpful resources.

Affiliate agreement links need to be emailed to:

operations@wicvc.org

Evaluation forms will be completed by the Doctor overseeing your rotation, which will be assigned about a week prior to your externship start date.

How did you hear about the externship opportunity at WCVC? *

Veterinary Extern MOU

Participation in the Wisconsin Community Veterinary Center Veterinary Externship program will be contingent on agreement to the rules and regulations of the facility. Violation of these will be grounds for program dismissal.

1. The student is expected to maintain an open mind and an inquisitive attitude.

2. The policies and protocols of the Wisconsin Community Veterinary Center administration and medical department must be observed and adhered to.

3. The student has read through and understood the training program syllabus details, as described on the Wisconsin Community Veterinary Center website, for the Veterinary Externship.

4. There is no stipend for this position.

5. Pre-existing medical conditions must be reported to the Wisconsin Community Veterinary Center administration.

6. Timeliness is imperative for program function. The routine student experience is scheduled from 7:00 AM until 6:00 PM Monday through Thursday, Friday from 8:00 AM to 5:00 PM, and an occasional Saturday. The clinic's regular weekly schedule includes 4 days of high-volume spay and neuter, 5 days of primary care, 2 days of dentals, and 2 days of other surgical procedures. Students will be expected to participate in all aspects of the clinic operations and will not only be performing spays and neuters.

7. Reasonable wear and tear of Wisconsin Community Veterinary Center property is expected. The student is responsible for excessive and unreasonable damage to property.

8. Please use your discretion when smoking at both time and place, as well as be sure you dispose of the smoking debris properly.

9. Daily attire (scrubs) should be commensurate with that worn during university surgical rotation reserved to the surgical suite.

10. The student understands that the Wisconsin Community Veterinary Center may use any photographs or videos taken of them or statements made by them, during the externship, or regarding the externship, for their promotional/grant-writing purposes.

11. The student is expected to be respectful to the Wisconsin Community Veterinary Center staff at all times.

*

By signing below, the student agrees to the conditions of the Wisconsin Community Veterinary Center's Externship Program and that all information provided is true and accurate. *

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