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Please provide the following information to be considered as an applicant for the Advanced Farrier Certificate program at the Virginia-Maryland College of Veterinary Medicine.

Note: Any information you enter will be saved for one (1) week, allowing you to return at a later date to submit additional information or make changes. In order to utilize the automatic "save and continue" feature, you must have cookies enabled on your web browser. Save and continue works as long as you return to the application on the same computer and on the same web browser, having not cleared your browser cookies.

First Name

Last Name

Mailing Address

City

State

Zip Code

Daytime Phone Number

E-mail Address

Gender

Male
Female
Prefer not to answer

Do you have a high school diploma or equivalent?

Yes
No

Highest degree completed

Survey Completion
0%	Current Progress 0%	100%