HINDS COMMUNITY COLLEGE
VETERINARY TECHNOLOGY
APPLICANT OBSERVATION DOCUMENTATION
As a requirement for applicants to the Hinds Community College Veterinary Technology
program, applicants are required to have no less than 25 hours of observation experience
prior to interview.
Date: ___________________________________
A. This is to verify that __________________________________ observed with
(student applicant name)
_______________________________________ from __________________ to___________
(clinic)
(time)
(time)
on_______________________________________.
(date(s) of observation)
B. This is to verify that _____________________________________ has been
(student applicant name)
employed with _______________________________________ as full time/part time
_____________________________________________________________
Applicant Signature
____________________________________________________________
Veterinary or Veterinary Technician Signature
Thank you for allowing the applicant to observe in your clinic.
Dr. Bobby O. Glenn, DVM - Program Director
Dr. Kirby E. Sills, DVM – Assistant Program Director
Dr. Darrell Phillips, DVM – Instructor
Dana Woodward, CVT - Instructor
Martha Young, CVT – Instructor
Melissa Washburn – Departmental Assistant
Hinds Community College Veterinary Technology Program
PO Box 1100
1176 Seven Springs Rd.
Raymond, MS 39154
601-857-3334/601-857-3456