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 DEADLINES: INTERNATIONAL STUDENTS: MARCH 1 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, require a minimum score on the Test of English as a Foreign Language (TOEFL) examination (600 paper-based/250 computer-based/100internet-based tests). 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 or emailed, preferably as a pdf attachment to mpvmadmissions@vetmed.ucdavis.edu . 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. Signature Please sign and date all application materials if submitting these by mail or fax. If submitting the material electronically, you may check the box for an electronic signature. 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. 1. Name: Family name 2. Gender: Male______ 3. Mailing Address: 4. 5. First name Middle name Female_______ Street and number City Street and number City State Country Zip Country Zip Business Address: Telephone Number: State FAX Number: E-Mail Address: 6. Birthplace: Date of Birth: City 7. Country of Citizenship: 8. Current Residency: State Country Month Day Year U.S. Social Security Number: State or Country 9. Are you a citizen or permanent resident of the United States? YES NO (To insert check marks, double-click on box and select “checked” in pop-up text box) 10. If you are a permanent resident, give your alien registration number and provide a copy of your alien registration card (“Green Card”): 11. Are you presently in the United States on a Non-Immigrant Visa? YES NO If yes: 11a. Type of visa: 11b. Expiration date: (If admitted to the MPVM Program, it will be the applicant’s responsibility to update visa status through appropriate immigration policies and procedures prior to beginning the program) 12. Indicate financial resources you expect to support your participation in the program (check all that apply): Government sponsorship Private scholarship Family resources Personal resources Financial aid For information about program costs and funding sources, go to: http://www.vetmed.ucdavis.edu/mpvm/program_costs.html 13. 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. Institution Attendance (from/to -month/year) Degree Conferred or Expected (month/year) 14. List the positions you have held since receiving your DVM degree, beginning with the current or most recent. Position, Name of Employer and Location Describe Responsibilities 15. If English is not your native language, please answer the following questions: 15a. List the date you have or will be taking the TOEFL examination: 15b. How many years of English have you had? 15c. Have you studied in English speaking countries? Dates of Employment (from/to – month year 16. Indicate by checking the boxes 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 Caprine Porcine Wildlife Canine Feline Avian Primates Humans Ovine Other (specify) c) If your interests do not fall clearly into the above categories, please describe your interests: 17. Letters of Recommendation: List below the names, occupation, mailing address and email address from who you have requested such letters (minimum 3 names): a. b. c. d. Certification and Release Information I certify that all the information and statements I have provided in this application are correct and complete, including any statement regarding residence. I have read and understand all notices and requirements contained with the application. I understand that withholding pertinent information requested on this application, or giving false information, may be grounds to deny me admission to the MPVM Program or may be grounds to dismiss me from the program after I have been admitted. Signature Date Check box for electronic signature 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, gender identity, pregnancy (pregnancy includes pregnancy, childbirth, and medical conditions related to pregnancy or childbirth), physical or mental disability, age, medical condition (cancer-related or genetic characteristics), ancestry, marital status, age, sexual orientation, citizenship, or service in the uniformed services (includes membership, application for membership, performance of service, application for service, or obligation for service in the uniformed services). The University also prohibits sexual harassment. This nondiscrimination policy covers admission, access, and treatment in University programs and activities. Inquiries regarding the University's student-related nondiscrimination policies may be directed to the UC Davis Compliance Director (ADA and Title IX Officer) (530) 752-9466, and to the Director, Student Judicial Affairs (530) 752-1128. APPLICANT NAME: 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 (Master 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)7521444. Please make checks payable to: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA In 2009-10, the MPVM Program systemwide fees (Registration Fee, Educational Fee and Nonresident Tution) and campus-based fees are $17,595 for California residents and $30,182 for nonresidents. Mandatory systemwide fees and campus-based fees are subject to gubernatorial, legislative, Regental and/or campus action and may change without notice. Actual fees many not be known until just before the start of the new academic year. For the most current information on student fees, visit the UC Davis Budget and Institutional Analysis website: http://budget.ucdavis.edu/studentfees 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 600 paper-based/250 computer-based/100internet-based tests. 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. Typically, the examination is offered in mid September. 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. Providing the student is in good academic standing, 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). professional school fee 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 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) Submit application to: MPVM PROGRAM By mail: Office of the Dean-Student Programs School of Veterinary Medicine 1 Shields Avenue University of California Davis, California U.S.A. 95616 By fax: (530) 752-2801 email: mailto:mpvmadmissions@vetmed.ucdavis.edu Letters of recommendation (3) may be mailed, faxed or emailed directly to the Office of the Dean--Student Programs as noted above