VVMA Members

Virginia Veterinary Medical Association

"Preserving and enhancing the quality
of human and animal life through
veterinary medicine"
 

Student Membership Application Form:




Name:
 
Address:
 
City:
 
State:
 
Zip:
 
Telephone:
 
Hometown/State:
 
Email Address:
 
If you have not responded to previous emails or mailings about participating in the mentor program, are you interested? Additional information on the mentor program can be found at http://www.vvma.or/Mentor-Program.aspx.


PLEASE CHECK YOUR PRACTICE INTEREST








  Other


ANTICIPATED YEAR OF GRADUATION:
 
VETERINARY SCHOOL:
 
I hereeby apply for membership in the Virginia Veterinary Medical Association. I understand that as a student who is enrolled ina school of veterinary medicine recognized by the American Medical Association on a full-time basis and who is actively pursuing a Doctor of Veterinary Medicine Degree, I shall become a non-voting student member and pay no dues. Immediately upon graduation, the student may apply for active membership, subject to approval by the Membership Committee and the Board of Directors.