
Cornell University Farrier Course Application
To use this application form, print it out using your printer, complete
it, and return it with a $10.00 non-refundable application fee to:
Farrier Courses
College of Veterinary Medicine
Veterinary Medical Teaching Hospital
Cornell University
Ithaca, New York 14853, USA.
Please type or print your your answers.
Check one: I am applying for the General Farrier Course ____, or the
Advanced Farrier Course ____.
SESSION APPLIED FOR:
January 20___, or April 20___, or September 20___.
Name: ____________________________________
Address: ______________________________________________
City: _________________________ State ________ Postal Code ___________
Country _______________
Phone: ________________________
Date of Birth: _____________________
S.S. #: ____________________________
LEVEL OF EDUCATION COMPLETED:
Indicate date degree(s) were received and school attended:
High School Graduate: _______________________________________________________
Two Year Associate Degree: _________________________________________________________
Four Year Bachelors Degree: ____________________________________________________________
Trade or Vocational School: _________________________________________________________
Other: _________________________________________________________________
LIST 3 WORK RELATED REFERENCES, (not relatives) who have knowledge of
your experience with horses. Provide full names, addresses and phone numbers
l. ______________________________________________________________________
_______________________________________________________________________
___________________________________________________ Phone #: ___________________
2. ______________________________________________________________________
_______________________________________________________________________
___________________________________________________ Phone #: ___________________
3. ______________________________________________________________________
_______________________________________________________________________
___________________________________________________ Phone #: ___________________
On a separate sheet of paper, please indicate why you want to take this
course, what experience you have had with horses, and what experience
you have had caring for their feet. Please include related past employment
and a brief description of job responsibilities.
I understand that after a two-week probationary period my student
record will be reviewed to determine my suitability for further training.
I also understand that a personal interview with the instructor will
be required, either in person or by phone and that it is my responsibility
to make arrangements for the interview.
SIGNATURE: _________________________________________
DATE: ____________________________
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