School of Veterinary Medicine
Department of Veterinary Clinical Sciences
Clinical Training Program Application
Louisiana St
ate University Phone 225-578-9552
School of Veterinary Medicine Fax 225-578-9218
Baton Rouge, LA 70803 lsu.edu/Vetmed
Do you have a US
Social Security Number?
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Country of Birth
Date of Birth
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Country of Citizenship
Current Visa Status
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Program Type
Desired Start Date
Area of Interest
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School of Veterinary Medicine attended:
Graduation Date:
Start Date Application Deadline
Notification of
Acceptance
early September (Block 5)
Application fee of $50 can be bank check or money order made
payable to Veterinary Clinical Sciences
Applicants must send the complete application packet to:
Maurice Kirksey - VCS, Rm 2307A
Department of Veterinary Clinical Sciences
LSU School of Veterinary Medicine
1909 Skip Bertman Drive
Baton Rouge, LA 70803-8410
USA
Materials to submit prior to the
application deadline:
☐ Application
☐ $50 Application Fee Payment
☐ Letter of Intent
☐ Curriculum Vitae (CV)
☐ Copy of Passport
☐ Photocopy of DVM Degree*
☐ Transcripts
w/ English Translation*
☐ BCSE or NAVLE Scores*
☐ TOEFL Scores*
☐ Three (3) Recommendation Letters
I
f enrolled in the PAVE program, one
verification letter from PAVE may be
substituted for all items marked with (*)
Name (Last, First)
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Physical Address
State/Province
Zip/Postal Code
Email Address
Cell Phone
Alternate Phone
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No