Office Use Only:
University of Prince Edward Island - Atlantic Veterinary College
ATLANTIC CANADIAN APPLICANT
SUPPLEMENTARY DOCTOR OF VETERINARY MEDICINE PROGRAM
APPLICATION FORM
All Atlantic Canadian Applicants must submit the following:
1. UPEI Undergraduate Application Form and the $75 processing fee by October 15.
2. Atlantic Canadian Supplementary Application (this form) including all required documentation below by October
15.
i. Final high school transcript indicating graduation (unless you applied to the DVM program in the previous
year)
ii. Photocopy of your current provincial driver’s licence and health card
iii. Photocopies of your parent's current driver's licence and health card if you have been a full-time student
at a post-secondary institution since your high school graduation and have never had a break from fulltime studies of at least twelve (12) consecutive months
3. Graduate Record Examination (GRE) results by October 15 (note UPEI institutional code is 0941). While scores will
be accepted up until February 28, receipt by October 15 will facilitate early evaluation of the application.
4. Official post-secondary undergraduate transcripts for all courses completed or in progress. If enrolled in courses
for the fall semester, additional transcripts are required by February 1. If enrolled in courses for the winter
semester and invited to interview, additional transcripts are required by June 1.
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All transcripts must be sent directly from the post-secondary institution or, if submitted by the applicant, must
be in a sealed institutional envelope
A “full-time student” has a course load of at least three courses and nine semester hours per semester,
excluding laboratories; a “post-secondary institution” is an institution authorized to confer post-secondary
diplomas, certificates or degrees
If your parents are separated or divorced, you are only required to submit the driver's licence and health card of
the parent who has usual day to day care of you as listed in a custody agreement
Submit all materials postmarked by the dates indicated above to:
Professional Schools Admissions, Office of the Registrar
University of Prince Edward Island
550 University Ave., Charlottetown, PE C1A 4P3
Fax: (902)566-0795
Office Use Only:
A. Applicant Personal Data (use the TAB key to navigate to the next field)
Last Name:
First Name:
Date of Birth (dd/mm/yyyy):
Middle Name:
/ /
Email:
Phone Country Code (International):
Phone Number: (
)
-
B. Atlantic Canadian Residency
Enter the month and year (mm/yyyy) that you graduated from high school.
Example: 06/ 2011
/
Enter the province or state where your parents permanently resided (i.e. their permanent
home address) at the time of your graduation from high school.
Example: Nova Scotia
Indicate if you started full-time post-secondary study in September of the year that you
graduated from high school.
Yes
No
If you answered yes to the question above, state the name of the institution and the
province or state where you attended.
Example: Dalhousie University, Nova Scotia
Provide details about your residency and educational activities for each year since you graduated from high school
following the guidelines given below. Please use the table on the next page.
1. Year – List every year since you graduated from high school with the most recent year listed last.
2. Educational Activities – For each year listed, provide details about your activities as a full-time student:
 List each period that you were a full-time student (FS) at a post-secondary institution and include the name
of the institution, the province/state where it is located, and the months you attended.
 List each period that you were NOT a full-time student (NFS) and include the province/state where you were
living during this period and the months you were there.
3. Parents’ Province of Permanent Residence - For each year and educational activity listed, indicate the province where
your parents’ permanently resided. If their province of permanent residence changed during the calendar year
independent of your educational activities, provide both provinces and the months they resided at each.
4. Applicant’s Province of Permanent Residence - For each year and educational activity listed, indicate the province
where you permanently resided. If your province of permanent residence changed during the calendar year
independent of your educational activities, provide both provinces and the months you resided at each. Please note
that your permanent residence while a FS is the address where you normally reside when not attending school
(i.e. your home).
Office Use Only:
This is an example table only. Please enter your own details in the table below. Add additional pages if necessary.
Educational Activities
Year
2011
2012
2013
Applicant’s Province of
Permanent Residence
Institution Attended (for
FTS activities only)
Dalhousie University
NA
Dalhousie University
Dalhousie University
NA
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Ontario
Jan-Apr
May-Aug
Sept-Dec
Jan-Apr
May-Dec
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Nova Scotia
Ontario
NFS
FS
NA
Dalhousie University
Ontario
Nova Scotia
Jan-Aug
Sept-Dec
Nova Scotia
Nova Scotia
Ontario
Nova Scotia
Province/State
Months
Educational Activities
Year
Parents’ Province of
Permanent Residence
FS or
NFS
FS
NFS
FS
FS
NFS
FS or
NFS
Institution Attended
(for FS activities only)
Province/State
Months
Parents’ Province
of Permanent
Residence
Applicant’s Province
of Permanent
Residence
Office Use Only:
C. Veterinary and Animal Experience
Veterinary experience must be obtained under the supervision of a qualified veterinarian working in the field of
veterinary medicine. It may be paid or voluntary. Experiences may involve general or referral clinical practice and/or
provision of veterinary care to animals in research laboratories, zoos, animal shelters, and animal rehabilitation
facilities. Experience with veterinarians working in non-clinical capacities including regulatory or public health agencies
is also acceptable. Veterinary experience should involve direct interactions with one or more veterinarians working in
the field and should not be restricted to reception or administrative duties only. Applicants should be advised that there
is no minimum number of hours required for application, however, it is advised to attain as many hours with as many
different species (i.e. swine, cows, horses, exotic pets, dogs, cats, etc.) as possible. In most cases, veterinary experience
within North America is recommended.
Animal experience may involve working with livestock, breeding or showing animals, working in a pet store,
participating in equestrian activities, or any other animal related hobby or experience where a veterinarian is not
always present and/or does not provide direct supervision. It may be paid or voluntary. Please note that animal
experience for the purposes of application to the DVM program does not include pet ownership.
Each experience should be entered in the tables provided on the following pages and must include the following
information:
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Experience title (indicate broadly what the experience entailed and include the clinic or hospital name for all
Veterinary experiences)
Experience category (indicate one):
 Veterinary (for experiences involving veterinary medicine and a licensed veterinarian)
 Animal (for general animal experiences)
Location where experience was completed (indicate the city or town and province or state)
Contact name and title or affiliation (note that Veterinary experiences must have a licensed veterinarian listed
as the contact)
Contact email address and telephone number
Start and end dates (must include month and year and be within the five (5) year period preceding October 15
of the year of application
Animal types involved (indicate all that apply for each experience):
 Small Animals
 Food Animals
 Horses
 Zoo Animals/Wildlife
 Exotic Animals/Birds
 Other (please specify)
Brief description of specific duties (limited to 480 characters maximum)
Whether payment was received for the experience (indicate yes or no)
Total hours spent participating in the experience during the five (5) year period preceding October 15 of the
application year
The maximum number of experiences permitted is 10. Additional experiences will not be evaluated.
1. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
Other
Specify:
Other
Specify:
No
2. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
No
3. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
Other
Specify:
Other
Specify:
No
4. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
No
5. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
Other
Specify:
Other
Specify:
No
6. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
No
7. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
Other
Specify:
Other
Specify:
No
8. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
No
9. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
Other
Specify:
Other
Specify:
No
10. Title of Experience:
Category of Experience (check one): Veterinary
Animal
Location of Experience (city/province or state):
/
Contact Name:
Contact Title:
Contact Email:
Contact Phone: ( ) Start Date (mm/yyyy): /
End Date (mm/yyyy): /
Animal Types (check all that apply):
Small
Food
Zoo Animals/
Exotic Animals/
Animals
Animals
Horses
Wildlife
Birds
Brief Description of Duties:
Payment Received (check one): Yes
Total Hours:
No
D. INFORMATION TO APPLICANTS
The humane use of animals in teaching is a normal part of the Atlantic Veterinary College (AVC) curriculum and a
necessary component of veterinary medical education. Examples of such uses include, but are not limited to; dissection
of cadavers in Macroscopic Anatomy; post-mortem examination of animals in the Diagnostic Laboratory; handling,
restraint, and physical examination of animals in Clinical Orientation; and performing surgery and invasive diagnostic
procedures in Medical and Surgical Exercises laboratories. All teaching animal use at the Atlantic Veterinary College is
approved by the UPEI Animal Care Committee and conforms to the principles and guidelines of the Canadian Council on
Animal Care (CCAC). Please refer to the CCAC web site at: http://www.ccac.ca
Applicants must be aware that there are a number of attributes that are necessary for admission to the DVM Program.
These Essential Skills and Abilities are presented here to assist prospective students preparing for admission.
1. Observation: Students must be able to participate in learning situations that require observational skills. In
particular, students must be able to accurately observe animals of all common domestic species and acquire
visual, auditory and tactile information.
2. Communication: Students must be able to adequately speak, hear, and observe patients and clients to
effectively and efficiently elicit information, describe activity and posture, and perceive non-verbal
communication. Students must be able to communicate effectively and sensitively with clients and other
members of the veterinary health care team. Students must be able to coherently summarize an animal
patient’s condition and treatment plan verbally and in writing.
3. Motor Skills: Students must demonstrate sufficient motor function to safely perform a physical examination
on patients of all common domestic species including palpation, auscultation, and percussion. Examinations
must be done independently and in a timely fashion. Students must be able to use common diagnostic aids or
instruments including a stethoscope, otoscope, and ophthalmoscope. Students must be able to execute motor
movements required to provide general and emergency medical and surgical care to animal patients in a variety
of settings.
4. Intellectual Conceptual, Integrative and Quantitative Abilities: Students must demonstrate the cognitive
skills and memory necessary to measure, calculate, analyze, integrate and synthesize large quantities of
information from various sources. Students must be able to comprehend dimensional and spatial relationships.
Students must be able to execute complex problem-solving activities in a timely fashion.
5. Behavioural and Social Attributes: Students must manage the intellectual challenges of the program.
Students must apply good judgment and promptly complete all responsibilities attendant to the diagnosis and
care of animal patients. Students must cultivate mature, sensitive, and effective relationships with clients and
other members of the veterinary health care team. Students must be able to tolerate the physical, emotional,
and psychological demands of the program and function effectively under stress. Adaptability to changing
environments and the ability to function in the face of uncertainties inherent in the care of animal patients are
necessary skills. Personal qualities exemplified by members of the veterinary profession such as compassion,
integrity, concern for others, effective interpersonal skills, initiative, and motivation are also expected of
students.
The AVC is committed to facilitating the integration of students with disabilities. Students with a disability will receive
reasonable accommodation that will assist them in meeting the requirements for graduation from the DVM program.
Such accommodation, however, cannot compromise animal well-being or the safety of people involved. Consequently, it
may not be possible to accommodate all disabilities and facilitate successful completion of the DVM program. For
additional information regarding support, contact UPEI Accessibility Services
at http://www.upei.ca/studentlife/accessibility.
E. DECLARATION AND SIGNATURE
I understand that erroneous information, and/or failure to disclose my attendance at any post-secondary institution,
and failure to submit transcripts, may result in the denial of this application or my subsequent dismissal from the
University. The Admissions Committee may contact any person or organization listed in the application for further
information or for verification of information.
I understand that the University of Prince Edward Island Office of the Registrar will use the email address that I have
provided here in this document to contact me regarding the status of my application.
I certify that to the best of my knowledge all statements made in this application are complete and true and that all
records are complete and unaltered. If accepted to the University of Prince Edward Island, I agree to abide by the rules
and regulations of the University of Prince Edward Island and the Faculty of Veterinary Medicine.
_______________________________________________
Signature
_______________________________
Date