KSUCVM • Mentorships • Approval Form

KSU College of Veterinary Medicine
Approval Form for Mentorship Experience
 
 
 
KSU CVM Class of  
Student's E-Mail Address  
Number Of Full Weeks  
 
Semester you would like to be enrolled in this mentorship
(this is when you will be charged tuition for the course)


Mentor's Name
must be a Veterinarian
 
Practice Name
 
 
 
 
 
Mentor's Phone (###-###-####)  
  





Practice Description  
Have you discussed the expectations of this mentorship with the above listed mentor?

  
  
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