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Please note this form is to APPLY for a Vets Go Wild! placement. If you want more information, please click here to apply for a brochure.

Please fill out this form as accurately as possible, as this will help us place you on the Game Reserve which will best suit your needs and interests.

Fields highlighted * are mandatory.

Personal Details
First Name (as in passport) *
Surname (as in passport) *
Gender
Nationality
Date of Birth *
      
Address *
Post Code/ZIP
Telephone: Home *
Telephone: Mobile
E-mail *

About You

Start Date *
Which university are you studying Veterinarian science?
What is your current study year?
Once qualified, what would your preferred specialised field of practise be,
i.e. domestic, exotics, wildlife or equine?
Do you have any specific scientific interests relating to conservation medicine.
Please explain in short detail.
Would you prefer to be with a study group from the same university?
Would you consider taking up a placement in a mixed university course?
Do you have any current Medical conditions you feel may affect your experience?
Do you have any dietary requirements?
Where did you hear about us? Please tick appropriate box and specify accordingly.
  UCAS Convention      Please Specify:
  ISCO Gap Year Show      Please Specify:
  School Talk      Please Specify:
  Web search Engine      Please Specify:
  Website      Please Specify:
  Magazine      Please Specify:
  Friend/Past Volunteer      Please Specify:
  University Talk      Please Specify:
  Clinical Dean      Please Specify:
  IVIS Website      
  Born Free Foundation      
  Wilderness Foundation      
  Save the Rhino      
  Other      
Correspondance
How would you like to receive correspondance
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Terms and Conditons
I have answered the questions to the best of my knowledge. I believe I am medically fit and able to do all Worldwide Experience activities. On application you hereby agree to the terms and conditions.


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ATOL 4795 ABTA V9606 IATA Ecoafricaexperience The air holiday packages on this website are ATOL protected by the Civil Aviation Authority. Our ATOL number is 4795. Please see our booking conditions for more information. ATOL Protection extends primarily to customers who book and pay in the United Kingdom. Click on the ATOL logo if you want to know more. Ashley Adams Travel Ltd is not responsible for the content of external sites linked to / from our website. ABTA protection does not extend to non member sites. ABTA member's sites will include the ABTA logo within their webpages.

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