MASTER OF PREVENTIVE
VETERINARY MEDICINE
PROGRAM
SCHOOL OF VETERINARY MEDICINE
UNIVERSITY OF CALIFORNIA, DAVIS
APPLICATION FOR ADMISSION
Combined DVM/MPVM Program
UNIVERSITY OF CALIFORNIA, DAVIS
SCHOOL OF VETERINARY MEDICINE
APPLICATION FOR ADMISSION
MASTER’S PROGRAM IN PREVENTIVE VETERINARY MEDICINE
Important: All parts of this application must be typed or printed legibly in English. Submit
completed application to the Student Programs office.
1.
Name
Last Name
2.
First name
Mailing Address _____
Street and number
3.
City
State
Country
Zip
Country
Zip
Permanent Address
Street and number
4.
Middle name
Telephone Number (
City
)
State
FAX Number (
)
E-Mail Address
5.
Student ID Number
__
Date of Birth
Month
Day
Year
6.
Are you a citizen or permanent resident of the United States?  YES
 NO
If no, indicate country of citizenship______________________________________
7.
List in chronological order all schools attended since the completion of secondary
school (high school). Transcripts from each institution attended must be on file with
the School of Veterinary Medicine before your application can be processed.
Institution
Attendance
(month/year)
Degree Conferred
or Expected
(month/year)
16. Indicate by circling choices listed below, your main area and species of interest. This will be
helpful for assigning you an academic advisor.
a) Subject matter area/disciplines of interest (maximum 3):
Epidemiology
Zoonoses
Information Management
Microbiology
Disease Control
Herd Management
Animal Health Economics
Clinical Medicine
Disease Modeling
Other (specify)
Food Safety
Serology
Immunology
Public Health
b) Species of primary interest (maximum 3):
Bovine
Canine
Primates
Caprine
Feline
Humans
Porcine
Avian
Ovine
Wildlife
Other (specify)
c) If your interests do not fall clearly into the above categories, please describe your
interests below:
Signature
Date
The University of California, in accordance with applicable Federal and State law and University policy, does not
discriminate on the basis of race, color, national origin, religion, sex, disability, age, medical condition (cancerrelated), ancestry, martial status, citizenship, sexual orientation, or status as a Vietnam-era veteran or special
disabled veteran. The University also prohibits sexual harassment. This nondiscrimination policy covers admission,
access, and treatment in University programs and activities.
Inquiries regarding the University student-related nondiscrimination policies may be directed to: Student
Judicial Affairs Director Jeanne Wilson, 463 Memorial Union, 1 Shields Avenue, University of California,
Davis, 95616, (530) 752-1128.
NARRATIVE
Explain your professional, academic and future plans. Give reasons for seeking the degree the Master of
Preventive Veterinary Medicine. Specify your major field and specialized interests and how this program
fits in with your previous training and future objectives.