LSU Veterinary Student Externship Form

Please complete this form so our externship coordinator can follow up. Placement depends on class year, experience, and availability.

STUDENT INFORMATION

Full Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Preferred Method of Contact

VETERINARY COLLEGE/ UNIVERSITY | PROGRAM(S) OF INTEREST

Note: HQHVSN surgical placements require prior surgery lab or clinical surgical experience and are typically limited to students in their clinical years.

Name of Veterinary School

Student Year

Expected Graduation (MM/YYYY)

Select All Programs That Apply:

Community Medicine Program

Shelter Medicine Program

HQHVSN Surgical Program (High-Quality, High-Volume Spay/Neuter)

EXTERNSHIP AVAILABILITY

Preferred Externship Term/Semester

Desired Externship Length

Potential Date Window(s)

Window 1: Start Date

Potential Date Window(s)

indow 1: End Date

Potential Date Window(s)

Window 2: Start Date

Potential Date Window(s)

Window 2: End Date

EXPERIENCE & SKILLS

Prior Clinical or Shelter Medicine Experience (Please Describe):

Prior Surgical Experience (e.g., Surgery Labs, Spay/Neuter Observation, Suturing, Anesthesia Monitoring):

Self-Rated Comfort Level With Surgical Assisting

None Yet

Observed Only

Assisted

Performed Under Supervision

TELL US ABOUT YOURSELF

Why Are You Interested In Externing With Our Organization?

Anything Else You'd Like Us To Know?