Midwest Veterinary Conference :: Shelter Animal Medicine & Care Scholarship Application


Please use the form below to apply for the Shelter Animal Medicine & Care Scholarship, or download a PDF application. The scholarship application deadline is Jan. 16, 2012. Winners will be notified beginning the week of Jan. 23, 2012. See full details here. Once you have submitted your application, please fill out a registration form for each individual attending and submit it to the OVMA via mail or fax, or submit your registration online.
Scholarship applying for: Full Scholarship (Shelter professionals only) Partial Scholarship for Lab K (Shelter DVMs only)
Name*
Title
Organization*
Annual Budget*
Address*
City, State, ZIP*
Phone*		Fax
E-Mail*		Website
Attendance Plans*	If you do not receive a scholarship, what are your MVC attendance plans? I still plan to attend the Conference. I will not be attending the Conference.
Please write a brief statement describing why you need this scholarship to attend the 2012 Midwest Veterinary Conference on behalf of your organization.*

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