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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: ____________________________

Return to the Cornell University Farrier Course home page.

Return to the Farriers Schools List page.

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