Please complete the Georgia Veterinary Scholars Program (GVSP) application in full. The information that you provide will be used solely for the purpose of processing your application for the GVSP. The ethnic status portion will be used only for reporting required demographic data to our funding agencies. Please note that your application will not be affected in any way if you choose to not answer this question as this information is not provided to application reviewers. All other sections must be filled in completely.
Applicant Information
Please complete the following information.
Last Name:
First Name:
Middle Initial:
Current Address:
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Home Phone :
Email Address:
Gender:
Date of Birth (enter as mm/dd/yyyy):
Ethnic Status:
(Colleges and universities are asked by many entities to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to please answer the following optional questions.)
Do you consider yourself to be Hispanic or Latino/a?
Regardless of your answer above, please select one or more of the racial categories to describe yourself:
Current Educational Enrollment
In this section, describe your current educational status.
Current Institution:
Class Of:
Veterinary GPA: First year:
Second year:
GRE Scores:
Verbal:
Quantitative:
Analytical:
Date Taken:
Educational Background
Please add all the educational institutions attended and degrees obtained below:
| Institution | Location | Degree | GPA | Grad Yr | Actions |
| - | - | - | - | - | -1 |
| - | - | - | - | | -1 |
| - | - | - | - | - | - |
Questions
The Scholar Program:
Explain why you are interested in this opportunity.
Your Experience:
Describe previous work experience and how it relates to your interest in this program.
Your Career Goals:
What are your career goals at this time and how do you see this program facilitating your efforts to attain these goals?
References:
Provide the names, addresses, and telephone numbers of two references that are familiar with your work performance. Please notify these individuals that they may be contacted.
1. Name:
Address:
Phone:
1. Name:
Address:
Phone:
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