Deadline: June 1 of every year
| Name: | |
| Age: | Sex: |
| Current Address: | |
| Current Phone: | |
| Home Address: (if different) | |
| Home Phone: (if different) | |
| Father's Name: | |
| Address: | |
| Phone: | |
| Mother's name: | |
| Address: (if different) | |
| Phone: | |
| High School: | Year Graduated: |
| College: | Years Completed: |
| Graduate School: | Years Completed: |
| Current Status: | |
| Please Furnish any information Regarding: | |
| Honors obtained or papers published: |
|
| Veterinary related community service, voluntary activities,
and/or posistions held ( Must clarify difference between Volunteer {non-paid
position} with dates and Professional {paid positions} related Activities): |
|
| Yearly Salary: | Other Sources: |
| Educational Indebtedness: | |
| Career Goals - type of veterinary practice planned, why and
where (location)? |
|
| Why do you need and desire this scholarship? |
|
Official transcripts of graduate and veterinary credits and grades must be forwarded to the scholarship committee designated person to complete the application
Two letters of reference must also be sent to the Scholarship Designated Person, one should be personal ( not from family member!) one should be of an academic nature( school administration, faculty, veterinarians)
Resume submission would be helpful in the application process.
Send all information by June 1st to :
Diana Henry
3 North Pennington Road
New Brunswick, NJ 08901