VLC SCHOLARSHIP APPLICATION
The AVMA awards a limited number of scholarships to AVMA members interested in attending the annual Veterinary Leadership Conference (VLC), the premier event for veterinary leadership training. Priority is given to applicants who fall into one or more of the following categories:
• Rising leaders – Attendees with a desire to get involved with veterinary organizations and withlittle or no prior leadership experience
• Underrepresented in veterinary leadership – Veterinarians from a demographic, geographic,racial, ethnic, or socioeconomic group or practice type that is underrepresented in U.S.veterinary leadership
APPLICANT INFORMATION:
Name of Individual AVMA ID#
Address
Office Phone Cell/Home Phone Email Address
Why are you interested in attending the Veterinary Leadership Conference (VLC)? (150-word limit; continue on separate page if needed)
How might the VLC experience enhance your commitment to diversity and inclusion? (150-word limit; continue on separate page if needed)
Do your career goals include a leadership position in organized veterinary medicine? ☐Yes ☐ No ☐Maybe
Please explain your above answer.
Application should also include a resume (two-page maximum, single-sided) showing applicant’s qualifications.
APPLICANT SIGNATURE: By signing below, I certify that the information provided above is true and accurate to the best of my knowledge.
Signature of Applicant*
*By typing your name you agree that this is valid as your signature.
Email completed application or any questions regarding the scholarship to [email protected]. Incomplete or late applications will not be considered. If selected, applicant agrees to submit a narrative regarding the conference experience for AVMA’s use. For information on the Veterinary Leadership Conference please go to
avma.org/vlc. Questions about the conference can be directed to [email protected].
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