Veterinary Technology Application

Veterinary Technology Program Application

Applications to the Veterinary Technology program will be accepted through April 1, 2026 for the Fall 2026 semester.

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Personal Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Crowder Student ID Number
Email*
Phone Number*
Alternate Phone Number
College Education #1
List high school or GED and colleges Attended
Name of School*
Address of School*
Street Address City State
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Add a Second School
- Yes
- No
College Education #2
List high school or GED and colleges Attended
Name of School*
Address of School*
Street Address City State
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Add a Third School
- Yes
- No
College Education #3
List high school or GED and colleges Attended
Name of School*
Address of School*
Street Address City State
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Do you have college ready scores for:
Have you completed Biology or Zoology with a minimum grade of a "C"?*
- Yes
- No
Have you completed Biology 101?*
- Yes
- No
Have you completed English 101?*
- Yes
- No
English (are you at ENGL 101 or above)?*
- Yes
- No
What level of math have you completed?
What is your GPA?
Occupational Experience
List all employment within the past 5 years, start with the last date of employment (Employers may be contacted as references)
Employer*
Employer Address*
Street Address City State
Type of Employment*
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Add a Second Employer
- Yes
- No
Occupational Experience
List all employment within the past 5 years, start with the last date of employment (Employers may be contacted as references)
Employer*
Employer Address*
Street Address City State
Type of Employment*
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Add a Third Employer
- Yes
- No
Occupational Experience
List all employment within the past 5 years, start with the last date of employment (Employers may be contacted as references)
Employer*
Employer Address*
Street Address City State
Type of Employment*
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Work Experience within Veterinary Medicine*
list all animal related experience, and the number of years in each capacity (include experience with animal husbandry)
References
Please list the names and complete mailing addresses of three persons (not relatives or friends) who can evaluate your aptitude for the veterinary technology profession. Recommendations should be from a practicing veterinarian, a college instructor, and another person of the applicant’s choice. (Employers who can speak to work ethic are often a good option.) Letters may be mailed directly to the Veterinary Technology Program Director prior to the application deadline, or may be submitted with the application.
Reference #1*
First Last
Address*
Street Address City State ZIP Code
Phone
Reference #2*
First Last
Address*
Street Address City State ZIP Code
Phone
Reference #3*
First Last
Address*
Street Address City State ZIP Code
Phone
Clinic Name and Location of Observation Hours
Number of Observation Hours Completed
Overall GPA
Please complete the Proof of Shadowing form.
Essay 1*
Please write an essay of 250-500 words on the following subject: The Veterinary Nurse Initiative (VNI), which seeks to unite the veterinary technician profession under a single veterinary nurse title, standardize credentialing requirements and define scope of practice, continues to make progress despite some challenges. Detail your thoughts on this trend and describe any characteristics or experience which will set you apart from other candidates.
Essay 2*
Please write a 1/2 page essay on the following subject: From time to time, euthanasia is practiced in the field of veterinary medicine. Convey your thoughts about euthanasia. In your response, include whether or not you think that euthanasia should be practiced and why you have arrived at that conclusion.
Acknowledgements
Acknowledgement 1*
I do hereby certify that the above information is complete and correct to the best of my knowledge under penalty of perjury.
- Yes I Understand
Acknowledgement 2*
I understand that any question answered in a false manner will result in the application being void.
- Yes I Understand
Acknowledgement 3*
I understand that I will not be considered for admission into the Veterinary Technology Program until I have completed the application process as outlined in the application information sheet.
- Yes I Understand
“The Family Educational Rights and Privacy Act of 1974”, Public Law 93-380 as amended and signed into law by President Ford on December 31, 1974, states that enrollees have the right to examine confidential files. It also states that they may waive this right if they do so desire.

The law provides that references may be either confidential or non-confidential at the option of the registrant. The registrant has the option to inspect the references in a non-confidential file.

Confidential references are those which the registrant has waived the right to see.

Please consider the following in making a decision to have confidential or non-confidential references.

1. School officials prefer to see confidential references, believing the references are more frank in such credentials. The limited number of studies which have been made of confidential vs. non-confidential references Indicate a preference of both hiring officials and college faculty for confidential or enclosed references.

2. Registrants should be most selective in asking persons to write references for them. The persons selected should know the registrant well and be able to state facts and competencies of the registrant.

3. Writers of references will be informed at the time of writing that the reference is confidential or that the registrant will be permitted to see the reference.
I Have Elected:*
- A Confidential File
- A Non-Confidential FIle
By execution of the application, I do hereby authorize Crowder College or it’s representatives to verify all information contained within this application, and do waive any privilege I may have as to confidentiality to Crowder College or it’s representatives, and I do authorize any agency – – educational, health, or law enforcement – – to furnish to Crowder College or it’s representatives the information necessary to validate the information contained upon my veterinary technology application.
Signature*
Type in full name to sign and affirm this application
Date Signed
MM slash DD slash YYYY
Thank you for your interest in Crowder’s Veterinary Technology Program.

If you have any questions call 417-455-5590 or email sestep@crowder.edu
Please upload three Letters of Reference, Shadow Verification Form, and College Transcripts.
First letter of Reference*
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.
Second letter of Reference*
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.
Third letter of Reference*
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.
Shadow Verification form*
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.
College Transcript*
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.

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Foundation & Alumni

Training & Grant Programs

Who We Are

Our Values

About Us

Organization

How to Get Started

Start Here

Ways to Pay

Learn More

Find Your Program

Programs

Academic Resources

Other Services

Get Involved

Find Resources

Get Involved

Live on Campus

Ways to Give

EMPLOYMENT OPPORTUNITIES

Foundation & Alumni

Training & Grant Programs

Who We Are

Our Values

About Us

Organization

Veterinary Technology Application

Veterinary Technology Program Application

Personal Information

College Education #1

College Education #2

College Education #3

Do you have college ready scores for:

Occupational Experience

Occupational Experience

Occupational Experience

References

Please complete the Proof of Shadowing form.

Acknowledgements

Thank you for your interest in Crowder’s Veterinary Technology Program.