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Vets Go Wild Application Form

Full Name*
Last Name*
Gender (As in passport)*
Nationality (As in Passport)
Date of Birth*
Date Format: DD slash MM slash YYYY
Email Address*
Enter Email Confirm Email
Street Address*
City*
State/Province/Region*
Zip/Postal Code*
Country*
Phone Number*
About You
Applying for*
Available dates*
Available dates*
Which university are you studying Veterinarian science?
What is your current study year?
Once qualified, what would your preferred specialised field of practise be, i.e. domestic, exotics, wildlife or equine?
Do you have any specific scientific interests relating to conservation medicine. Please explain in short detail.
Would you prefer to be with a study group from the same university?
Would you consider taking up a placement in a mixed university course?
Do you have any current Medical conditions you feel may affect your experience?
Do you have any dietary requirement?
Where did you hear about us?
Yes, please process my application

We will send you the information relevant to your preferred placement/s via email. One of our project experts will then need to contact you to process your application and answer any further questions that you might have. Please indicate your correspondence preference for this consultation:
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- Email
- Telephone
Terms and Conditions*

I have answered the questions to the best of my knowledge. I believe I am medically fit and able to do all Worldwide Experience activities. On application you hereby agree to the terms and conditions
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Vets Go Wild Application Form

About You

Yes, please process my application

Terms and Conditions*

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