MASTER OF PREVENTIVE VETERINARY MEDICINE PROGRAM SCHOOL OF VETERINARY MEDICINE UNIVERSITY OF CALIFORNIA, DAVIS APPLICATION FOR ADMISSION _______________________________________ (Indicate the academic year for which you are applying) APPLICATION INFORMATION AND INSTRUCTIONS PLEASE READ THE MASTER OF PREVENTIVE VETERINARY MEDICINE PROGRAM INFORMATION BEFORE COMPLETING THE APPLICATION. APPLICATION DEADLINE FOR INTERNATIONAL STUDENTS: MARCH 1 APPLICATION DEADLINE FOR DOMESTIC STUDENTS: APRIL 1. 1. Academic Requirements for the Program a. All applicants to the MPVM program must hold a Doctorate in Veterinary Medicine (DVM) or its DVM equivalent. b. Applicants must have a minimum GPA of 2.70 in their DVM program for consideration of admission to the MPVM program. c. International applicants whose native language is not English or whose entire course of university study was not in English, requires a minimum score of on the Test of English as a Foreign Language (TOEFL) examination. (500 paper-based/173 computer-based/61 internet-based test). 2. Transcripts Official transcripts and their English certified version of all prior university work must be received in the Office of the Dean-Student Programs, School of Veterinary Medicine, no later than March 1 for international students and April 1for domestic students. 3. Letters of Recommendation Three letters of recommendation in English are required. Persons writing a letter on your behalf should mail them directly to the Office of the Dean--Student Programs by the appropriate deadline for both international and domestic students. Letters of Recommendation may also be faxed to (530) 752-2801. 4. Authorization to Bill for Fees (if applicable) If you are being sponsored by a granting agency, this form must be submitted with the application. 5. Application Fee A non-refundable application fee of $40.00 is required. Please enclose the fee with your application. Make checks payable to the Regents of the University of California. Please do not submit cash. Failure to submit the application fee will result in a delay in the processing of your application. 6. Signature Please sign and date all application materials. Make a copy of your application for your records. Formal acceptance into the MPVM Program will only be granted after all admission requirements have been met and the application has been approved by the MPVM Admissions Committee. UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF VETERINARY MEDICINE APPLICATION FOR ADMISSION MASTER OF PREVENTIVE VETERINARY MEDICINE PROGRAM Important: All parts of this application must be typed or printed legibly in English. To the Applicant: Give full legal name in order indicated below. Do not use nickname or abbreviation. The name entered on this application must be used in all your official correspondence with the University. Enclose the required application fee of $40.00 made out to the Regents of the University of California. 1. Name Family name 2. Gender: Male______ 3. Mailing Address First name Female_______ Street and number 4. City State Country Zip Business Address Street and number 5. Middle name Telephone Number ( ) City State Country FAX Number ( Zip ) E-Mail Address 6. Birthplace Date of Birth City 7. Country of Citizenship 8. Current Residency 9. State Country Month Day Year U.S. Social Security Number ________________________________ State or Country Are you a citizen or permanent resident of the United States? YES NO 10. If you are a permanent resident, give your alien registration number and attach a copy of your alien registration card (“Green Card”) 11. Are you presently in the United States on a Non-Immigrant Visa? YES NO 12. List in chronological order all schools attended since the completion of secondary school (high school) including training in the Armed Forces Instruction centers. Transcripts from each institution attended must be on file with the School of Veterinary Medicine before your application can be processed. Degree Conferred or Expected (month/year) Attendance (month/year) Institution 13. List in reverse chronological order the positions you have held since receiving your DVM degree. Location and Name of Employer and type of activity Describe Responsibilities Inclusive Dates If English is not your native language, please answer the following questions: 14. List the date you have or will be taking the TOEFL examination 15. How many years of English have you had? 16. Have you studied in English speaking countries? 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 (cancer-related), 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 Margaret Heisel (510) 987-9572. student-related nondiscrimination policies may be directed to: 17. Indicate by circling choices listed below, your main area and species of interest. This will be helpful for assigning you an academic advisor if accepted to the MPVM program. a) Subject matter area/disciplines of interest (maximum 3): Epidemiology Zoonoses Information Management Microbiology Public Health Other (specify) Herd Management Animal Health Economics Clinical Medicine Disease Modeling Food Safety Serology Immunology Disease Control 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: 18. Letters of Recommendation- Please list below name, occupation, address and phone number from whom you have requested such letters. List a minimum of 3 names. 1. 2. 3. 4. PERSONAL STATEMENT 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. University of California, Davis School of Veterinary Medicine AUTHORIZATION TO BILL FOR FEES Government or other agencies that are providing financial support for payment of a student’s mandatory university fees must submit a letter on agency letterhead providing information regarding the funding. The letter must include the following information: Full name of student Student’s date of birth Name of educational program (Masters of Preventive Veterinary Medicine) Name of sponsoring agency Name of contact person Address of agency where invoices should be mailed Telephone number and email address of contact person Agency fax number Letter must indicate whether agency will be paying the non-resident tuition fee (if applicable) Letter must indicate if agency will be paying the premium for the mandatory Student Health Insurance Program (SHIP) Letter must indicate the duration of sponsorship Letter must indicate whether payments will be made quarterly or in one lump sum Questions regarding sponsorship may be directed to the Student Accounting Office at (530)752-1445. Please make checks payable to: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ENGLISH LANGUAGE PROFICIENCY REQUIREMENTS MASTER OF PREVENTIVE VETERINARY MEDICINE Due to the scholastic requirements and scheduling of the MPVM program, it is essential for students to be proficient in the English language. Major problems encountered by many foreign students whose English language skills are deficient are: 1) inability to understand lectures; 2) inability to determine main components of lectures; 3) difficulty in reading and abstracting major data; 4) difficulty in reading fast enough to complete assignments; 5) difficulty in writing essaytype answers in examinations; and 6) difficulty in organizing material from different sources for writing papers. THERE ARE TWO BASIC ENGLISH REQUIREMENTS FOR ADMISSION: I. Non-native English speaking applicants must provide TOEFL scores from a test taken within the past six months. The minimum test score required for admission to the MPVM program is 500 paper based/173 Computer based test/61 internet based. II. Prior to the beginning of their first quarter of enrollment on the Davis campus, all international students whose native language is not English, regardless of TOEFL score, are required to take the English Entrance Examination given by the English Department at the University of California, Davis. If the student passes the exam, no further English course will be required, if the student does not receive a passing score, one of the following decisions will be made: a. The student will be required to enroll in the English course for one quarter. This student may have difficulty carrying a full academic load during this first quarter. b. The student will be required to enroll in English courses for two quarters. This student may have difficulty carrying a sufficient academic load to complete the program in one year. This student, if not able to complete the program in the first year, has two options: 1. Continue a second year to complete the requirements for the degree. 2. Receive a certificate of attendance at the end of the first year providing a satisfactory level of academic performance is maintained. Students who participate in the two-year program must be prepared to pay an additional year’s registration fees, nonresident tuition (if applicable) and living expenses. International Students: for further information on Financial Information for Prospective International Students, please go to: http://siss.ucdavis.edu/student_financial_info.htm Upon admission to the MPVM program, the Services for International Students and Scholars (SISS) office will contact you regarding your request for an I-20/DS 2019 form. MPVM APPLICATION CHECKLIST Have you included your: Application for Admission $40 Application Fee Transcripts (translated in English if applicable) TOEFL Score (non-native English speakers only) Letter Authorizing the Billing of Fees for Financially Supported Students (if applicable) Please submit application to: MPVM PROGRAM Office of the Dean-Student Programs School of Veterinary Medicine 1 Shields Avenue University of California Davis, California U.S.A. 95616 Fax (530) 752-2801 Letters of recommendation (3) should be mailed or faxed directly to the Office of the Dean--Student Programs