Survey - Vet Assistant/RVT Externship Request Form

Vet Assistant/RVT Externship Request Form

*1.

Question - Required - Your First and Last Name:

2.

Question - Not Required - Age:

*3.

Question - Required - Your Email:

*4.

Question - Required - Your Phone Number, Including Area Code:

5.

Question - Not Required - The name of the school you are currently enrolled in:

6.

Question - Not Required - How many hours and during what time frame must you complete your externship?

*7.

Question - Required - Schedule availability (days and times)

(Maximum response 255 chars, approx. 5 rows of text)

*8.

Question - Required - Location Preference:

	Companion Animal - Escondido
	Companion Animal - Oceanside
	Companion Animal - San Diego
	Wildllife - Bahde Center (SD)
	Wildllife - Ramona

9.

Question - Not Required - Share your externship requirements, if you have an agreement that must be signed and what you are looking to gain from this experience (School requirements/agreements materials must be emailed to volunteercenter@sdhumane.org)