Attention: Veterinary Technicians,Managers and Veterinarians

Abstract

“Helping Hands” Scholarship Award

Free registration to the Veterinary Dental Forum in Phoenix, AZ - November 15-18, 2018. Winners will also receive a one-year subscription to the Journal of Veterinary Dentistry, which includes access to the Journal’s online archives.

Name: ____________________________________________________________________________________________

City/State (Country) _____________________________________________________ Postal Code _________________

Email: ____________________________________________________ Cell phone #: ___________________________

Hospital: __________________________________________________ Hospital Phone #: ________________________

CHECK ALL CATEGORIES THAT APPLY :

Certified Technician: Tracking: Manager:

Non-Certified Vet Tech: Veterinarian: First-time attendee:

Rules:

Applications must be sent to: LBrown@VeterinaryDentistry.org with “VDF” in the subject line or fax to: 208-895-7872.

Deadline is midnight July 15th, 2018. Winners will be announced by Aug 1st, 2018.

All applicants must be actively employed.

Selections will be made by the Scholarship Committee on a random (lottery) basis.

All additional costs related to attendance and lodging for the VDF are the responsibility of the winners.

Incomplete forms will not be considered.

(Provide the mailing address of where you would like the JVD to be delivered to, if you should win.)

Mailing Address: ___________________________________________________________________________________

__________________________________________________________________________________________________

Funding provided by the Academy of Veterinary Dentistry