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					                                   Veterinary Technology Program Application
                                                                                                                       Fall                    (Year)
Last                                        First                                                M.I.                  Semester of Interest for Entry


Address                                               City                            State                   Zip

(       )                                   (         )                                          (            )
Home                                        Cell                                                 Work

                                                                                                 /        /                                /        /
Email                                                                                 SSN#                                        Birth Date

Yes         No
                    I have completed the admission process to Palo Alto College.

                    I have submitted official transcripts to Palo Alto College.

                    I have declared my major as “Veterinary Technology” degree code 3540.

Required Prerequisite Courses:
Term took or         Grade                                                  Term took or         Grade
enrolled for         Received                                               enrolled for         Received
                                   ENGL 1301                                                                      SPCH 1311, 1318 or 1321
                                   BIOL 1408                                                                      ITSC 1309, 1301 or COSC 1301

Yes         No
                    I have submitted a letter of recommendation from a Veterinarian or Registered Vet Technician.

                    I have submitted proof of work or volunteer veterinary experience hours of at least 80 hours.

List all colleges/universities attended besides Palo Alto. (Include all Alamo Colleges.)
          College/University                         Year(s) Attended                                                  Degree Awarded/Pursued




Equal Opportunity Education: The Alamo Colleges, without regard to race, color, national origin, religion, sex, or handicap offers educational opportunities.

NOTE: Students enrolling in this program who plan to transfer to a 4-year institution should consult a counselor about the transfer requirements of the
veterinary technology courses to a 4-year institution. This program does not meet any of the requirements to apply for admission into a school of veterinary
medicine.




Signature                                                                             Date

Send To:    Palo Alto College
            Veterinary Technology Program
            1400 West Villaret Blvd.
            San Antonio, Texas 78224
                                                                                                                                                    Revised 6/5/09

				
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