University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015

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1 Augustana College and University of Illinois Coordinated Degree Program Baccalaureate of Arts/Doctorate of Veterinary Medicine (BA/DVM) (version 8/28/2015) Augustana College and the College of Veterinary Medicine at the University of Illinois offer a unique combined liberal arts and sciences curriculum leading to the degrees of Bachelor of Arts (BA) and Doctor of Veterinary Medicine (DVM). The pre-professional part of this curriculum is completed in 3 years at Augustana College and the professional part of this curriculum in 4 years at the College of Veterinary Medicine at the University of Illinois at Urbana-Champaign. This program is available only for Illinois residents completing all their pre-veterinary coursework at Augustana College. I. Upon completion of the first year of full-time studies at Augustana, the applicant shall meet with an Augustana Pre-Veterinary Advisor to determine the appropriateness for that applicant of an early admission application. II. The applicant shall then provide, by a published common application date, the following materials as part of a complete application for early admission to the College of Veterinary Medicine: A completed application (see later pages in this document) An official Augustana College transcript documenting achievement of: o A minimum 3.50 grade point average (GPA) in all courses o A minimum 3.50 Science GPA (Biology, Chemistry, Physics, and Mathematics) Letters of recommendation from an Augustana teacher, a veterinarian with whom the student has observed veterinary practice, and another reference, none of whom may be from a relative by birth or marriage III. The College of Veterinary Medicine Admissions Office will then evaluate each application and organize interviews with the applicants deemed appropriate for consideration for early admission. Upon completion of a successful interview (criteria determined by the College of Veterinary Medicine), the applicant may be offered provisional early acceptance into the College of Veterinary Medicine. IV. After completion of the second and third years of the pre-professional curriculum at Augustana, the provisionally-accepted student must meet annually continue to meet the following criteria: Maintenance of a GPA of 3.50 or higher, documented by providing an updated transcript to the College of Veterinary Medicine Completion of all other graduation requirements at Augustana other than senior Biology hours Statement to the College of Veterinary Medicine Admissions Office by April 15 that the student intends to matriculate to that College that year V. Upon successful completion of the first year of veterinary school, the student must work with Augustana College to document that successful year and must apply for graduation from Augustana with a BA degree.

2 University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015 Table of Contents Important Information... 1 Application Requirements Personal Statement Explanation Page Letters of Evaluation Submission of Transcripts Submission of the Application Deadline for Submission University of Illinois at Urbana-Champaign Statement on a Safe Environment Instructions... 3 Application... 5 Personal Statement Page Explanation Page Applicant Evaluation Form (3)

3 University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Augustana College Please read the description of the Coordinated Degree Program Application that is included with this application package so that you understand the nature of the program. Failure to follow the instructions below could delay or cancel the processing of your application. Application Minimum Requirements: 3.50 cumulative GPA 3.50 science GPA Completion of one year of full-time college coursework Completion of three graded (not Pass/Fail) science courses in Biology, Chemistry, and/or Physics Personal Statement: Your personal statement must be typed single spaced in a 12-point font. Use the Personal Statement page provided with the application. The statement cannot exceed two (2) pages. Your statement must discuss: 1. A brief and focused statement about when, where, and why you made your adult decision to become a veterinarian, especially once you realized it was not only an animal related career but a science-based medical career. 2. What have you learned from your veterinary experience? Don t just focus on the skills utilized (drawing blood, restraining animals, etc.) but talk about what you have observed about what a veterinary doctor does. 3. What are you like as a person (interests, hobbies, extracurricular activities, community activities)? 4. Other information you think is relevant to your application. Explanation Page: You may use the explanation page, which is included with the application, to provide additional information about: Item 13 (Veterinary Experience) Item 14 (Animal Experience) Item 15 (Employment History) Item 17 (Honors and Awards) Item 18 (Extracurricular and Community Activities) Submission of Transcripts: You must submit, with your application, sealed official transcripts in official institutional envelopes from Augustana College. Augustana s seal or an official signature must be present over the sealed flap of the envelope for each transcript. Submission of the Application: Submit a completed application to the Office of Academic and Student Affairs, Coordinated Degree Program, University of Illinois, College of Veterinary Medicine, 2001 S. Lincoln Ave., Room 2271G, Urbana, IL Your application must include the following: 1. Completed application for the Coordinated Degree Program 2. Personal Statement 3. Explanation page, if elected

4 4. Letters of recommendation (These letters must be from a teacher, a veterinarian, and a character reference, none of which can be from a relative by birth or marriage 3 total) 5. Sealed official transcripts 6. Your signature accepting the Certification and Authorization Statement on Page 6. Deadline: For an application to be valid, the Office of Academic and Student Affairs must receive it no later than September 15, There will be NO exceptions. University of Illinois at Urbana-Champaign Statement on Safe Environment: The University of Illinois at Urbana- Champaign is committed to maintaining a safe environment for all members of the University community. As part of this commitment, the University requires applicants who are under indictment or have been convicted of a crime (other than a routine traffic offence or in a juvenile proceeding) to disclose this information as a mandatory step in the application process. A previous conviction or current indictment does not automatically bar admission to the University, but does require review. Complete information must be sent by certified mail at the time of application for admission to: Review Committee, 300 Student Services Building, University of Illinois, 601 E. John Street, Champaign, IL Applicants are responsible for verifying receipt by the University and for maintaining a copy of the receipt certifying submission. Information to be submitted includes: a brief explanation, location (city, state, country) of conviction or current indictment, dates and court supervision, in English. This statement must include a grant of permission to the University for complete access to criminal records, if any. For further information on this requirement, call

5 Instructions Following are instructions for completing the University of Illinois College of Veterinary Medicine Coordinated Degree Program application form. Some items are not referenced because they are self-explanatory or because the application form provides sufficient information. Item 1. Provide your full legal last, first, and middle name. Do not use nicknames or parentheses to set off alternate names. Item 2. Complete this item only if you know you have used an alternate name on previous academic records. If any part of your alternate name is different from Item 1, enter all parts of your alternate name. Item 3. Use the space provided to report your current address. If your address changes before December 1, 2015, please notify the University of Illinois, College of Veterinary Medicine, Office of Academic and Student Affairs. Item 5. You will be notified of the outcome of the application on or before December 1, Use this item to provide the address and phone number where you can receive mail and/or messages reliably from the time you submit your application until December 1, Item 8. You may indicate your ethnic identity by checking one or more of the boxes that apply to you. Your response(s) to this item is optional and will be treated confidentially. Item 13. The veterinary experiences you report in this item should relate to any veterinary clinical, agribusiness, health science or research experience that you have had with veterinarians, other health scientists, or other professionals. This should include all voluntary, paid or academic experiences. If necessary, use the explanation page to list additional experiences. Item 14. The animal contact experiences you list for this item may include experiences such as farm and/or ranch background. 4H experiences, animal training, pet ownership or other similar activities may be used here. If necessary, use the explanation page to list additional experiences. Items 17 & 18. Because space is limited, list those items you feel are most important first. Item 20. You must sign the Certificate and Authorization Statement for your application to be eligible for consideration for admission into the Coordinated Degree Program.

6 University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Please read the instructions carefully, enter your name on each page following this one, and sign the application. Personal Information 1. WHAT IS YOUR FULL LEGAL NAME? a. Last b. First c. Middle 2. ANY OTHER NAME ON PREVIOUS ACADEMIC RECORDS? a. Last b. First c. Middle 3. ADDRESS (i.e., 3a. CONFIRM ADDRESS: 4. CURRENT MAILING ADDRESS, since / MO a. Number and Street YR b. Address Line 2 c. City d. State e. ZIP Code f. Current until / MO YR 5. PERMANENT ADDRESS (if different from Item 5), since / MO b. Number & Street b. Address Line 2 g. County Country (if not USA) Current Phone No(s). Cell ( ) - Evening ( ) - c. City d. State e. ZIP Code f. County g. Country h. Permanent Phone No. ( ) - YR 7. DATE OF BIRTH (mo/day/year) 8. AGE TODAY 9. GENDER 8. WHAT IS YOUR ETHNIC IDENTITY? (optional) Male Female (1) American Indian or Alaskan native Ancestral origin in North America and maintaining cultural identification through tribal affiliation or community recognition. (2) Black (not Hispanic) Ancestral origin in any of the black racial groups of Africa. (3) Asian or Pacific Islander Ancestral origin in the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands (including China, Japan, Korea, the Philippine Islands, and Samoa). (4) Hispanic Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish ancestral origin regardless of race. (5) White (not Hispanic) Ancestral origin in Europe, North Africa, or the Middle East. (6) Other (please specify)

7 Page 2 NAME LAST FIRST 9. PLACE OF BIRTH a. City b. State c. County d. Country (if not USA) 10. U.S. CITIZENSHIP a. Are you a U.S. citizen? 1. Yes 2. No a. If yes, what is the state of your legal residence? 11. PARENT S INFORMATION: Mother s full name: Living Deceased (please circle one) Resides in: City Father s full name: State Living Deceased (please circle one) Resides in: City State 12. MILITARY INFORMATION a. Are you a veteran of U.S. military service? 1. Yes 2. No b. Length of Service? : / / To: / / MO DAY YR MO DAY YR c. What type of discharge/separation did you receive? VETERINARY/ANIMAL EXPERIENCE 13. VETERINARY EXPERIENCE: Clinical/Agribusiness/Health Science/Research. (List most recent experience first.) An explanation of your veterinary experience must be incorporated into your personal statement. Name of Veterinarian/Scientist City State Position Dates Total Number Hours a. b. c. d. e. f. 14. ANIMAL EXPERIENCE: Provide a brief description of each experience and indicate hours spent. Discuss and explain your animal experience in your personal statement. Type of Experience City State Position Dates Total Number Hours a. b. c. d. e. f.

8 Page 3 NAME LAST FIRST OTHER BACKGROUND INFORMATION (If you need more space for the items on this page, continue on the Explanation Sheet.) 15. EMPLOYMENT HISTORY: Include paid employment only, including high school, and start with your most recent Job. Do Not include any experiences listed in Items 13. Type of Experience City State Position Dates Total Number of Hours a. b. c. d. e. f. 16. STUDENT/EMPLOYEE STATUS Has there been any interval longer than three months during which you were not enrolled as a student or employed? 1. Yes 2. No If yes, provide an explanation on a separate sheet of paper (including the duration and how you spent your time). 17. HONORS AND AWARDS: List and describe honors or awards you have received (include high school). Include granting organization and date received. You may attach a sheet with additional information if necessary. Organization Dates a. b. c. d. e. f. 18. EXTRACURRICULAR AND COMMUNITY ACTIVITIES: List and describe extracurricular or community activities in which you were engaged (include high school). Include sports and hobbies. Office Held Dates a. b. c. d. e. f. 19. ACADEMIC HISTORY DID YOU GRADUATE FROM HIGH SCHOOL? a. Yes b. No b. Year of Graduation c. H. S. Name d. City e. State f. If NO, did you complete the GED? 1. Yes 2. No 20. CERTIFICATION, AUTHORIZATION, AND SIGNATURE I have read all material received with this application, including the instructions, and I certify that the information provided in my application is complete and accurate, to the best of my knowledge. I grant permission to the University of Illinois Admissions Advisory Committee to request, receive, and verify any and all information pertinent to my application, including information contained in and relating to any previous veterinary medical college application(s). Signature of Applicant Date of Application

9 Page 4 NAME LAST FIRST Personal Statement: Must be typed single spaced in a 12-point font.

10 Page 5 NAME LAST FIRST Explanation Sheet: Must be single spaced in a 12-point font.

11 University of Illinois College of Veterinary Medicine Coordinated Degree Program Augustana College Applicant Evaluation Form To the applicant: Enter your name and telephone number and sign statement A or B below before giving this form to an evaluator. Name of Applicant: Telephone: ( ) - Name of Evaluator: Telephone: ( ) - Evaluator s Title or Occupation: Institution, Practice or Place of Business: Evaluator s Address (Street, City, State & Zip Code) The University of Illinois is an equal access/equal opportunity institution. As such, there is no discrimination on the basis of race, ethnic background, disability, age, gender, or sexual orientation. Applicants who are admitted have the right under the Family Educational Rights and Privacy Act of 1974, to see written evaluations submitted on their behalf, unless they waive the right. Please indicate your choice by signing either Statement A or B below. The signing of this waiver is voluntary and refusal to do so will not be a factor in considering your application. A. I hereby waive my right of access to the applicant evaluation provided by the evaluator named above. Applicant s Signature Date B. I do not waive my right of access to the applicant evaluation provided by the evaluator named above. He or she should be made aware that I retain my right of access and that the confidentiality of the evaluation is not guaranteed. Applicant s Signature Date This waiver is effective insofar as the recommendation is used solely for the purpose of admission. To the evaluator: The above-named applicant has requested that you evaluate him/her as a candidate for the Coordinated Degree Program to the University of Illinois College of Veterinary Medicine, which is described on the following page. The information you provide will be used only in the admissions process. You may be contacted by a member of the Admissions Advisory Committee seeking additional information or verification. The candidate has indicated above whether or not he/she wishes to have access to this evaluation. Please place this form and your signed letter of evaluation in a sealed business envelope; seal, then sign the envelope access the sealed flap. Return the sealed envelope to the applicant to be forwarded by the applicant with his/her application. The applicant s deadline for submission is September 15, There will be NO exceptions. In your letter of evaluation, we would appreciate it if you would please address topics such as your knowledge of the applicant s commitment to and/or experience with the veterinary profession, ability to handle large and/or small animals, intellectual/academic capacity, integrity, leadership, and interpersonal and time management skills. 1. How long have you known or observed the applicant? 2. In what capacity have you known the applicant? 3. How many candidates have you evaluated for admission to veterinary medical colleges?

12 University of Illinois College of Veterinary Medicine Coordinated Degree Program Augustana College The University of Illinois College of Veterinary Medicine and Augustana College have entered into an agreement to offer a unique opportunity to some select pre-veterinary students. Careful consideration is given to applicants academic achievement during their first year of college. They must also demonstrate they have been engaged in activities that reflect a serious interest in pursuing post graduate study in the profession of veterinary medicine (i.e. volunteering or job shadowing for veterinarians, engaging in pertinent research, working with animals). Students ultimately chosen to participate in this program will complete three years of study at Augustana and then will be eligible for direct entry into the University Of Illinois College Of Veterinary Medicine. At the completion of their first year of veterinary education, Augustana will award a Bachelor s Degree to the students. Students make application at the end of their first year of college and decisions regarding their acceptance into this program are made jointly by Augustana College and the College of Veterinary Medicine. All decisions are final. You may begin writing your evaluation on this page or attach a written commentary to this page. Thank you for participating in this important program.

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