GENERAL/BOOK AWARD APPLICATION

Step 1 of 2

Applicants must be enrolled in a program within the USA, Canada, or USA territories.

Deadline to apply is February 1, 2026

This application requires a reference from a Veterinary School Official. You will need to provide VSTONE with the name and contact information of your chosen School Official.
This application also requires a reference from a Veterinarian in private/corporate practice or industry. You will need to provide VSTONE with the name and contact information of a Veterinarian in private practice who is familiar with you.

Date:

APPLICANT INFORMATION

Using autofill is not recommended!

FULL NAME:

PLACE OF BIRTH:

DATES OF BIRTH:

SOCIAL SECURITY NUMBER:

no dashes; just numbers

EMAIL ADDRESS:

Please check your spelling. We will use this email address to contact you regarding this application.

PLEASE INCLUDE A SECOND EMAIL ADDRESS BELOW IF THE PRIMARY ONE WILL NOT BE VALID AFTER GRADUATION:

SECOND EMAIL ADDRESS:

Please check your spelling. We may use this email address to contact you regarding this application.

PHONE NUMBERS:

CELL PHONE

Please just enter numbers - no parentheses, no periods and no dashes.

PERMANENT PHONE NUMBER

Please just enter numbers - no parentheses, no periods and no dashes.

PRESENT HOME:

Please just enter numbers - no parentheses, no periods and no dashes.

ADDRESSES

PRESENT ADDRESS: No P.O. Boxes, please

Address Line 1

Address Line 2

City

State

Zip Code

PERMANENT LEGAL RESIDENCE: No P.O. Boxes, please

Address Line 1

Address Line 2

City

State

Zip Code

This can be the same as your present address.

YEARS AT PERMANENT LEGAL ADDRESS:

NEW ENGLAND STATE OF RESIDENCE:

EDUCATION

VETERINARY COLLEGE YOU ARE ATTENDING:

YEARS COMPLETED:

MONTH/YEAR YOU EXPECT TO GRADUATE:

UNDERGRADUATE SCHOOL:

YEAR GRADUATED:

CITY OR TOWN:

STATE:

ZIP CODE:

HIGH SCHOOL:

YEAR GRADUATED:

CITY:

STATE:

ZIP CODE:

If you did not graduate from a New England high school, please provide a list of your home (legal residence) addresses for the 5 years preceding matriculation into veterinary school. Only students with 5 years residence apart from college will be considered.

ADDRESS FIVE YEARS AGO

ADDRESS FOUR YEARS AGO

ADDRESS THREE YEARS AGO

ADDRESS TWO YEARS AGO

ADDRESS ONE YEAR AGO

REFERENCES

NAME OF SCHOOL:

NAME OF SCHOOL OFFICIAL WHO CAN PROVIDE A STATUS OF GOOD STANDING:

First

Last

Date: TWO NAME

SCHOOL OFFICIAL'S TITLE:

SCHOOL OFFICIAL'S EMAIL:

SCHOOL OFFICIAL'S PHONE NUMBER:

Please just enter numbers - no parentheses, no periods and no dashes.

NAME OF VETERINARY PRACTICE

NAME OF A VETERINARIAN WHO IS FAMILIAR WITH YOU:

First

Last

VETERINARIAN'S EMAIL ADDRESS:

VETERINARIAN'S PHONE NUMBER

Please just enter numbers - no parentheses, no periods and no dashes.

CONFIRM: The information on this application is correct to the best of your knowledge.

SIGNATURE:

Clear Signature

Please preview the application by clicking Preview Application. This is your chance to review your responses to be sure your provided information is correct before clicking the SUBMIT button.

If you need to change anything please click Previous.

Once your application is received by VSTONE, a PDF of your application will be emailed to you.