Application for 2014-2015 VMTH Residency Program

Instructions for programs NOT participating in VIRMP.

  1. Complete all information requested on this application. PLEASE NOTE : Foreign nationals must be eligible for a J1 visa with no bars or home country requirement.
  2. Arrange to have an official transcript of your professional (veterinary) coursework sent to the House Officer Program Coordinator. (If from a foreign school, please provide an English translation).
  3. A Curriculum Vitae with your picture is required.
  4. Letter of Intent.  Attach separate sheets on which you describe your professional goals and what you expect from a residency.
  5. Request references from at least three sources (written in English) but not more than four, two of whom must be your clinical instructors. We will not initiate requests for references. (Letters may be sent via email to dcgomez@ucdavis.edu)
  6. THE DEADLINES FOR RECEIPT OF APPLICATION MATERIALS ARE AS FOLLOWS:

Radiology/Diagnostic Imaging (TBA), Ophthalmology (TBA), Lab Animal/Primate Medicine (TBA), Dairy Production Medicine (TBA), CAHFS (see website). For all other programs, the application deadline is December 8, 2014.

Send residency application and all supporting materials to: Preferred Method - email all materials to: House Officer Program Coordinator (Please put name of program in subject line) or

by post to: Diana Gomez, VMTH, One Garrod Dr., Davis, CA 95616-8747.

Dairy Production Medicine applications to: Staci Slaght, VMTRC, 18830 Road 112 Tulare, CA 93274 (559) 688-1731.

CAHFS Residencies: Administrative Office California Animal Health & Food Safety School of Veterinary Medicine Davis, CA 95616 Voice: (530) 752-8709 Fax: (530) 752-5680.

Laboratory Animal/Primate Medicine: Applicants interested in Laboratory Animal/Primate Medicine only should contact: Dr. Laurie Brignolo at CLAS or Dr. Kari Christe at CNPRC. Laboratory Animal/Primate Medicine residency applicants please see website for application instructions.

The beginning date for most programs is August 1. Laboratory Animal/Primate Medicine is a 29 month program with start dates of December 1, and July 1.

  • This form may also be used to apply for the residency positions that are being offered by the California Animal Health & Food Safety Laboratory System (CAHFS). Please submit applications and inquiries to the appropriate address/telephone number listed above.
  • Behavior, Comparative Theriogenology, Dairy Production Medicine, Lab Animal/Primate Medicine, Ophthalmology, and Radiology do not participate in the matching program.
  • Please consult the detailed residency description for further information regarding each program.

Application
(Complete application online, then print, sign, and email along with Letter of Intent and other requested documents)

The University of California, Davis and the Veterinary Medical Teaching Hospital are interested in candidates who are committed to the highest standards of scholarship and professional activities, and to the development of a campus climate that supports equality and diversity.

One copy of supporting documents must accompany each application form.

Program:

Application Date (MM/DD/YYYY):
Last (Family) Name:
First Name:
Middle Name(s)
Address

City:

State:
Postal Code:
Country:
E-Mail:
Telephone:
Cell Phone:
Fax:
School or Employment Address:
(Please limit input to 5 rows of 50 characters each.)
School or Employment Telephone:
School or Employment Fax:

(All phone numbers must be applicable through March 2014)

U.S. Citizen  Yes ___  No___  If no, name of home country    Foreign nationals must be eligible for a J-1 visa with no bars or home country requirements.

   
Veterinary Education    
First Veterinary College
College Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Attendance (MM/DD/YYYY):
From:    To:
Degree(s) Obtained:
Graduation Date:
Grade Point Average:
Grade Point Scale (5.0, 4.0, etc):
Class Rank:
Class Size:
Second Veterinary College (if applicable)
College Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Attendance (MM/DD/YYYY):
From:    To:
Degree(s) Obtained:
Graduation Date:
Grade Point Average:
Grade Point Scale (5.0, 4.0, etc):
Class Rank:
Class Size:
   
Veterinary Practice Work Experience (since acceptance to veterinary school)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)

Employer's Name and Address:
(Please limit input to 5 rows of 50 characters each.)
Dates of Employment:
From:    To:
Job Title and Duties:
(Please limit input to 5 rows of 50 characters each.)
     
Honors and Awards (related to veterinary medicine)
     
Special Interests (related to veterinary medicine)
     
References    
Reference 1
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 2
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 3
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:

Reference 4
Name:
Address:
City, State, Postal Code, etc:
Title:
Work Phone:
 
 
I hereby certify that these statements are true and correct to the best of my knowledge and that my misstatements will be cause for rejection of this application.
     
     
     
____________________________________________
___________________________________
Signature
Date