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1. Applicant Information

Full Name(Required)

First Last

Phone Number(Required)

Email Address(Required)

Address(Required)

City State ZIP

Participation Type(Required)

Student Shadowing
Veterinary Student Externship
Veterinary Technician Student Externship
Volunteer / Community Learning (subject to legal approval)

Requested Dates(Required)

Requested Hours / Schedule(Required)

Emergency Contact – Name(Required)

Emergency Contact – Phone Number(Required)

Are you under 18 years of age?(Required)

Yes
No

If yes, parent/legal guardian information and signature are required.

Date of Birth(Required)

Collected only to confirm minor status / guardian-consent requirements.

2. School / Program Information

School / Program

Program Type

Current Year / Level

Faculty / Program Contact

Faculty Email / Phone

Academic Credit Required?

Yes
No

School Agreement Required?

Yes
No

Required Hours

Learning Objectives / Required Skills

Evaluation Form Required?

Yes
No

3. Interest & Learning Goals

Are you interested in completing shadowing, externship, or approved learning experience at Skyline Animal Hospital?

Shadowing
Externship
Volunteer

What are your primary learning goals?

What area(s) of veterinary medicine are you most interested in observing or learning more about?

4. Experience & Safety Information

Have you previously worked with or handled dogs and/or cats in a structured setting?

Yes
No

If yes, briefly describe your experience.(Required)

Have you completed any of the following training?

OSHA / workplace safety
Rabies pre-exposure vaccination
Fear Free / low-stress handling
CPR / First Aid
Animal handling / restraint
None
Other

Are you able to follow written and verbal safety instructions, infection-control protocols, confidentiality requirements, and directions from your assigned supervisor?

Yes
No

Do you understand that participation may involve exposure to animal bites/scratches, zoonotic disease risks, bodily fluids, anesthetic gases, cleaning chemicals, radiographic areas, emotionally difficult cases, euthanasia, and other inherent risks of a veterinary hospital?

Yes
No

5. Role Boundaries

Student Shadow

Observational only unless Skyline expressly authorizes a specific non-medical activity.
Will not restrain patients, administer medications, perform treatments, operate medical equipment, or provide hands-on medical care.
Must remain with the assigned team member and follow instructions regarding where observation is permitted.
Must provide in advance contact information for school representative and any educational requirements/paperwork that needs completed by Skyline Animal Hospital. Skyline Animal Hospital will not offer a grade only complete paperwork provided.

Student Extern

May participate in supervised clinical learning activities only when permitted by the student’s educational program, Skyline policy, demonstrated competency, and applicable law/regulation.
All hands-on activity requires appropriate supervision.
Externship activities are educational and not paid employment

Volunteer / Community Learning

Observational only unless Skyline expressly authorizes a specific non-medical activity.
Volunteer activities are educational and not paid employment

6. Professionalism, Confidentiality & Social Media

I will protect the confidentiality of clients, patients, medical records, staff information, and hospital operations.

I will not photograph, record, post, livestream, or discuss identifiable patients, clients, staff, medical cases, or ongoing hospital activities on social media or other public platforms without Skyline’s prior authorization and any required client/patient-owner permission.

I will behave professionally, follow dress and safety requirements, and comply with directions from Skyline staff.

I understand that Skyline may end my participation at any time if safety, confidentiality, professionalism, program requirements, or hospital operations warrant it.

7. Proposed Participation Acknowledgment & Release

I understand that my participation at Skyline Animal Hospital is for the educational, observational, externship, or other approved purpose identified above. Unless Skyline separately hires me as an employee in writing, this participation does not create an employment relationship, agency relationship, or entitlement to compensation or future employment.

I understand that veterinary-hospital environments involve inherent risks, including contact with animals, bites and scratches, zoonotic disease exposure, bodily fluids, medical equipment, cleaning agents, and other hazards. I agree to follow all safety instructions, supervision requirements, restricted-area rules, and infection-control procedures.

To the extent permitted by applicable law, I acknowledge and accept the ordinary risks associated with my approved participation. Any release, indemnification, assumption-of-risk, or limitation-of-liability language should be interpreted only as approved by Skyline’s legal counsel and applicable law.

I understand that I may not photograph, record, post, or discuss ongoing hospital activities, client information, patient information, or identifiable medical cases on social media or other public platforms without Skyline’s authorization and any required client permission.

If I am under 18 years of age, I understand that a parent or legal guardian must provide written consent before I may participate.

8. Applicant Acknowledgment

Applicant Printed Name(Required)

Applicant Signature(Required)

Date(Required)

9. Parent / Legal Guardian Consent – Required if Applicant is Under 18

Parent / Guardian Name(Required)

Relationship to Applicant(Required)

Phone(Required)

Email(Required)

Parent / Guardian Signature(Required)

Date(Required)

Parent / Guardian Consent

I am the parent or legal guardian of the minor applicant identified above. I consent to the minor’s participation in the approved Skyline Animal Hospital program and acknowledge that I have reviewed the participation expectations, safety information, confidentiality requirements, and proposed release language.

Student / Externship / Volunteer Application Form

Student, Externship & Volunteer Opportunities

1. Applicant Information

2. School / Program Information

3. Interest & Learning Goals

4. Experience & Safety Information

5. Role Boundaries

Student Shadow

Student Extern

Volunteer / Community Learning

6. Professionalism, Confidentiality & Social Media

7. Proposed Participation Acknowledgment & Release

8. Applicant Acknowledgment

9. Parent / Legal Guardian Consent – Required if Applicant is Under 18

Student, Externship & Volunteer Opportunities

1. Applicant Information

2. School / Program Information

3. Interest & Learning Goals

4. Experience & Safety Information

5. Role Boundaries

Student Shadow

Student Extern

Volunteer / Community Learning

6. Professionalism, Confidentiality & Social Media

7. Proposed Participation Acknowledgment & Release

8. Applicant Acknowledgment

9. Parent / Legal Guardian Consent – Required if Applicant is Under 18

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Student / Externship / Volunteer Application Form

Student, Externship & Volunteer Opportunities

1. Applicant Information

2. School / Program Information

3. Interest & Learning Goals

4. Experience & Safety Information

5. Role Boundaries

Student Shadow

Student Extern

Volunteer / Community Learning

6. Professionalism, Confidentiality & Social Media

7. Proposed Participation Acknowledgment & Release

8. Applicant Acknowledgment

9. Parent / Legal Guardian Consent – Required if Applicant is Under 18

Student, Externship & Volunteer Opportunities

1. Applicant Information

2. School / Program Information

3. Interest & Learning Goals

4. Experience & Safety Information

5. Role Boundaries

Student Shadow

Student Extern

Volunteer / Community Learning

6. Professionalism, Confidentiality & Social Media

7. Proposed Participation Acknowledgment & Release

8. Applicant Acknowledgment

9. Parent / Legal Guardian Consent – Required if Applicant is Under 18

Get In Touch With Us Today

This site uses tracking technologies

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