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Home » Form: Technician Mentorship Program Application

Form: Technician Mentorship Program Application

Thank you for your interest in our Technician Mentorship Program. Candidates should have taken their VTNE and be NYS licensed veterinary technicians or waiting to receive their license. A NYS veterinary technician license is required to start the program.

Contact and License Information

Date(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Are you a NYS licensed veterinary technician?

Yes

No

Please provide the date of your license

Please provide more details regarding career and path to receive your license:

Resume and Professional References

Resume/CV:(Required)

Drop files here or

Accepted file types: pdf, doc, jpg, docx, Max. file size: 25 MB.

Please list two professional references - one from a prior manager and one from a college professor or administrator:(Required)

Use the plus sign to add another row.

Name

Relationship

Email

Phone Number

Technician Mentorship Program

Please use the following section to tell us more about your interest in the UVS Technician Mentorship Program.

Why are you interested in the Technician Mentorship Program?(Required)

What do you hope to gain from the Technician Mentorship Program?(Required)

We accept applications year-round for our Technician Mentorship Program. Please tell us in detail your desired start date and availability:(Required)

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