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	Join Facebook Group Contact us Email us  SOUTH AFRICA  Wildlife Conservation    Addo Elephant Park    Become a Game Ranger    Bruce Little Sculpting    Hoedspruit Endangered       Species Centre    Kariega Game Reserve    Moholoholo Rehab Centre    Shamwari Game Reserve    Wildlife Film Academy  Marine Conservation    ORCA Marine Foundation    Tiger Shark Research  Community    Community & Teaching  Other Projects    Eco-school Challenge    Grown-up Gappers    Vets Go Wild  MALAWI    Born Wild Programme  KENYA    Colobus Trust Monkeys  SRI LANKA    Elephant & Leopard Research  INDIA    Cotiago Wildlife Sanctuary    Turtle Preservation Program    Animal Rescue & Care Project  APPLY ONLINE  REQUEST A BROCHURE  About Us    Meet our team    Who we are    Why consider us?    Terms & Conditions    Charities & Partners    Subscribe to e-newsletter  Gallery  Rates  FAQ  Contact Us  Links Please note this form is to APPLY for a Vets Go Wild! placement. Please fill out this form as accurately as possible, as this will help us place you on the placement that will best suit your needs and interests. Fields highlighted * are mandatory. PERSONAL DETAILS   First Name (as in passport) * Surname (as in passport) * Gender Please selectMaleFemale Nationality Date of Birth * Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010 Address * Post Code/ZIP Telephone: Home * Telephone: Mobile E-mail *     ABOUT YOU   Start Date 17th June - 2nd July 2010 8th July - 23rd July 2010 29th July - 13th August 2010 19th August - 3rd September 2010 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: Born Free Foundation     Wilderness Foundation     Save the Rhino     Other     CORRESPONDENCE   How would you like to receive correspondance?  Email     Post TERMS AND CONDITIONS   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.   SOUTH AFRICA: Shamwari Game Reserve | Kapama Game Reserve | Kariega Game Reserve | Addo Elephant Park    Become a Game Ranger | Moholoholo Rehab Centre | Wildlife Film Academy | ORCA Marine Foundation | Community & Teaching | Tiger Shark Research Programme Bruce Little Sculpting OTHER: Vets Go Wild | Eco School Challenge | Grown up Gappers KENYA: Colobus Trust Monkeys | SRI LANKA: Elephant & Leopard Research | MALAWI: Born Wild Programme INDIA: Cotiago Wildlife Sanctuary | Turtle Preservation Program | Animal Rescue & Care Project Apply online | Request a brochure | Meet our team | Who we are | Why choose us | Terms & Conditions | Gallery | Rates | FAQ | Contact Us  Charities we support | Links | Webmaster 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 here to find out 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. WORLDWIDE EXPERIENCE Ashley Adams Travel (UK) Ltd, Guardian House, Borough Road, Godalming, Surrey, GU7 2AE Tel: +44 (0) 1483 860560, Fax: +44 (0) 1483 860391 Web: www.worldwideexperience.com | e-mail us Normal Hours of Business 09:00 to 17:30 Registered in the United Kingdom No: 3307361, Vat Number: 242 4974 53