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Site and Adjunct Interest Form

If you would like to learn more about potentially participating in the Lincoln Memorial University College of Veterinary Medicine Clinical Year Community Based Distributed Veterinary Education Program, please complete the following and submit. Selected LMU-CVM Community Based Distributed Educational Partners deliver teaching opportunities to clinical year students in four (4) week clinical rotations. Shortly after submission of this information, someone from LMU-CVM will contact you.

In order to host LMU-CVM students, a veterinarian or PhD, directly involved in animal topics/research is required to supervise and oversee LMU-CVM students at the facility.

First & Last Name
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(e.g. Small Animal General Practice, Small Animal Emergency & Critical Care, Specialty Medicine-Opthalmology, Mixed Animal Practice, Small Animal Internal Medicine, Small Animal Surgery, etc.)
LMU-CVM seeks to engage interested members of the veterinary community to be partners in the educational process of LMU-CVM students. From the list below, please select any you would be interested in participating.
Currently I employ:
Would you be interested in learning more about the LMU Veterinary Technology graduates and the LMU Veterinary Technology program?