Short-term Clinical Placements at U-Vet

Short-term Clinical Placements at U-Vet

Fill out the below form carefully for your own request - do not apply on behalf of other students.
Student Name*

First NameMiddle NameLast Name
Student E-mail*

Confirmation Email
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number

Area CodePhone Number
Phone Number*

Area CodePhone Number
Institution Name*
Country this Institution is located in?*
Course*
Expected date of completion.*

MonthDayYear
We will try to match you to your section of interest but we may not be able to depending on availability.

Please order the below sections in order of preference from 1 to 9.
Clincal placements can be either two weeks or four weeks long - please select your preferred options using the calendars below. Please note that placements are not available in January.
Please select a starting date for your First Preference*

DayMonthYear
Date
Please indicate a duration for your First Preference*

Two week placementFour week placement
Please select a starting date for your Second Preference*

DayMonthYear
Date
Please indicate a duration for your Second Preference*

Two week placementFour week placement
Please select a starting date for your Third Preference*

DayMonthYear
Date
Please indicate a duration for your Third Preference*

Two week placementFour week placement
English Requirements - If you have met the University's English language requirement please provide your score and attach supporting documentation.*
Supporting Documentation*

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