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Gluck Center > Education > Undergraduate Students > Application Instructions for Veterinary School 2013 > Applicant Information Form

Applicant Information Form

Please keep your contact information current!

If you move and/or change your telephone numbers or e-mail address, use the Update Form to let us know. Otherwise, important updates may not reach you in time.

-- For applicants and re-applicants --

Maxwell H.Gluck Equine Research Center
Department of Veterinary Science, University of Kentucky
Lexington, Kentucky 40546-0099

Main Office (859) 257-4757
Fax (859) 257-8542

* Today's date	Please enter today's date.
* Your full name	Please enter your full name.

* Will you be a UK student as of Summer or Fall 2013?	Yes No Please select. Invalid format.

* E-mail address (use uky.edu acct; hotmail and some others do not work)	Please enter your e-mail address. Invalid format.

* Phone	Please provide both Home and Cell phone numbers if you have both. Please enter your Home and/or Cell phone number.

* May Dr. Dwyer call you at work if necessary?	Yes No Please select. Invalid format.
	If yes, work phone:

* Local mailing address	Please enter your local address.

* Permanent home address If same as local, enter "same".	Please enter your permanent address or "same".

* May Dr. Dwyer call you at your permanent home phone if necessary?	Yes No Please select. Invalid format.
	If yes, permanent home phone:

* Where are you applying:	Auburn University Tuskegee University Other Please make a selection.

* Are you a re-applicant to Auburn?	Yes No Please select. Invalid format.

* List all Universities and Colleges attended, including UK:	Please enter all schools you have attended.

* Are you a legal KY resident?	Yes No Please select. Invalid format.

* Will you have a college undergraduate degree by June 1, 2014?	Yes No Please select. Invalid format.
	If yes, Institution and month/year:

* Will you have an advanced degree (MS, PhD, etc) by June 1, 2014?	Yes No Please select. Invalid format.
	If yes, Institution and month/year:

Applicant Information Form

Please keep your contact information current!

-- For applicants and re-applicants --

Fields with an asterisk(*) are required.

If you're having technical difficulties with this form, please email dfurry1@uky.edu.

* At this time, what type of animals are you most interested in? (maximum of 3 choices)	Haven't decided - interested in all animals now. Small animals Horses Food animals (cattle, sheep, goats, llamas, etc.) Exotics (pet birds, reptiles, etc.) Zoo animal/wildlife medicine Other, please specify: Please make up to 3 selections. A maximum of 3 interests can be selected. (eg. research, teaching, public health, regulatory, etc.)