Early Admission Application

Personal Information
First Name
Middle Name
Last Name
Other Last Name
Date of Birth Date of Birth / MM / DD YYYY
Place of Birth (City, State)

Abbreviate State i.e. Stillwater, OK
Ethnicity

Ethnicity American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Gender

Gender Male Female
Current Mailing Address Current Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
County
Cell Phone Cell Phone - ### - ### ####
Email

Please check your email on a regular basis as this will be our primary contact source during the application process.
Permanent Address (if different than current) Permanent Address (if different than current)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What is your state of legal residence according to the Oklahoma State University registrar's office policy?

Abbreviate name i.e. "Oklahoma" is OK
What is the type of geographic area where you were raised?

What is the type of geographic area where you were raised? Urban (1,000,000 Population) Large City ( population 100,00 to 1,000,000) Mid-size City (population 50,000 to 999,999) Large Town (population 10,000 to 49,999) Small Town (population 2,500 to 9,999) Isolated Rural (population less than 2,500)
Are you a citizen of the United States

Are you a citizen of the United States Yes No
VISA Type
VISA Number
High School Information
High School Name
Graduation Date Graduation Date / MM / DD YYYY
High School GPA (Unweighted)
Upload your High School Transcript

Attach Files
Upload your ACT/SAT scores

Attach Files
List your High School Activities
List your Community/Volunteer activities
Did you attend any colleges or universities while in high school?

Did you attend any colleges or universities while in high school? Yes No
College Name
College City, State

Spell out both City and State i.e. Stillwater, Oklahoma
When attended (MM/YY – MM/YY)
Upload your college transcript

Attach Files
Current College Information
College Currently Enrolled
College City, State

Spell out both City and State i.e. Stillwater, Oklahoma
Major
Name of Academic Advisor Name of Academic Advisor First Last
Academic Advisor Phone Academic Advisor Phone - ### - ### ####
Academic Advisor Email
OSU ID (OSU Students Only)
List all Fall Coursework (example: POLS 1113, MATH 1513, …)
Animal Experience

Include pets and farm animals but do NOT include veterinary experience in this section.
Species
Check all that apply

Check all that apply Family Owned Class Related Other
Dates of Experience with Species (MM/YY – MM/YY)
Hours Per Week of Interaction
Duties and Responsibilities
Species
Check all that apply

Check all that apply Family Owned Class Related Other
Dates of Experience with Species (MM/YY – MM/YY)
Hours Per Week of Interaction
Duties and Responsibilities
Veterinary Experience

Please list your veterinary experience in chronological order beginning with most recent.
Name of Veterinarian Name of Veterinarian First Last
Name of Hospital Clinic
Address of Hospital/Clinic Address of Hospital/Clinic
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dates of Experience (MM/YY – MM/YY)
Estimated Hours Per Week
Duties and Responsibilities
Name of Veterinarian 2 Name of Veterinarian 2 First Last
Name of Hospital Clinic 2
Address of Hospital/Clinic 2 Address of Hospital/Clinic 2
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dates of Experience (MM/YY – MM/YY)
Estimated Hours Per Week
Duties and Responsibilities
Employment History

List your most recent jobs held that are NOT listed under veterinary experience (most recent first).
Employer
Employer Address Employer Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dates of Employment (MM/YY – MM/YY)
Was this employment during the school year?

Was this employment during the school year? Yes No
Estimated Hours Per Week
Duties and Responsibilities
Employer 2
Employer 2 Address Employer 2 Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dates of Employment (MM/YY – MM/YY)
Was this employment during the school year?

Was this employment during the school year? Yes No
Estimated Hours Per Week
Duties and Responsibilities
Employer 3
Employer 3 Address Employer 3 Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Dates of Employment (MM/YY – MM/YY)
Was this employment during the school year?

Was this employment during the school year? Yes No
Estimated Hours Per Week
Duties and Responsibilities
Upload a Resume (optional)

Attach Files
Why do you want to be part of the Early Admission Program?
Please explain why you want to be a part of the Early Admission Program.

Include what you've done to prepare yourself to enter the veterinary medical profession (animal experiences, volunteering,
clinical work, etc).

Early Admission Application

Early Admission Application

Personal Information

High School Information

Current College Information

Animal Experience

Veterinary Experience

Employment History

Why do you want to be part of the Early Admission Program?