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EMS Placement Application
Here at Charter Vets we want to provide good quality EMS for vet students and to aid us in
doing this we ask that you complete this application form.
Personal Details
Name
Address
Telephone Number
Email Address
Dates requested
Accommodation required
University Details
Y/N
University
Telephone Number
Year of Study
Member of relevant University clubs
or societies?
Details of previous EMS placements
Specific Areas of Interest
What are you hoping to achieve during this placement?
Specific areas of routine work you would like to be involved in:
Y
N
Please submit your completed application form along with a current CV and a recent passportstyle photo by email to: [email protected] or post to Fiona Tyson EMS Placement
Administrator Torch Farm & Equine Ltd Horsepond Meadow South Molton Devon EX36
4EJ Tel 01769 610000 Fax 01769 575789
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