Veterinary Technology On-Campus Certificate Application
Cedar Valley College
**DUE JUNE 1st**
DCCCD Student ID#
Last, First Name
Primary Email
CHECK any of the courses you have COMPLETED With a C or better:
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BIOL1406
ENGL1301
MATH ELECTIVE – COLLEGE LEVEL
FINE ARTS/HUMANITIES ELECTIVE
SOCIAL/BEHAVIORAL SCIENCE ELECTIVE
Please fill out the remaining questions:
Degrees Earned:
Animal Experience: YES/NO
Location(s) & Length of Time:
a.
b.
c.
In a few words, please explain your reasons for selecting this program and how it relates to your
overall career goals?
Answer the following math question
1. The doctor has instructed you to administer a dosage for a dog with Sarcoptic Mange. The
dog weighs, 25kg and the dose is 0.02mls/kg. How many ml of Ivermectin should you
administer? A:
2. The doctor has instructed you to administer a deworming dosage of Strongid C for a horse.
The horse weighs, 1100 lbs. and the dosage is 1oz/250lbs How many oz. will the horse
need? A:
How did you hear about our program: (circle one) Internet Search
CVC Website
AAHA/AVMA
Current Student
Graduate Student
DCCCD Website
Co-Worker
Other:
Equal Education Opportunity: Educational opportunities are offered by the Dallas County Community
College District without regard to race, color, age, national origin, religion, sex, or handicap.
STATEMENT OF STUDENT’S RESPONSIBILITY: I have read and understand the admission process for the
Veterinary Technology Program. By submitting an application to the program, I agree to abide by the admission
requirements for the Veterinary Technology Program. I accept full responsibility for submitting a complete
admission packet prior to the designated application‐filling deadline. I understand that I will not be accepted into
the Veterinary technology program until I have completed all of the admission requirements.
Once I have submitted my admission packet, I understand that it is my responsibility to inform the Veterinary
Technology Program Director of any change in my status, address, telephone number, intentions to enter the
program, or any other information that would affect my entrance into the program. I understand that the purpose of
this program is to prepare me to eligible to take the Texas Examination to become a Licensed Veterinary Technician
(LVT).
Signature of Student
Printed Name
Date
Office Use ONLY:
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TSI met: YES/NO
Unoffical Transcripts: YES/NO
Correct Math Answers: YES/NO
ACCEPTED: YES/NO
WHY:
Initial: