Prospective Students

Do You Know a Future Cougar Veterinarian?

If so, we would like to tell them about the College of Veterinary Medicine at Washington State University. In order to do this, we need contact information. If you would like to refer a student to us, please enter their contact information into the form below.

The College of Veterinary Medicine at Washington State University will use this information to mail recruitment materials detailing the application process and offering the student an opportunity to meet with the manager of recruitment. The information provided will not be shared with anyone outside of WSU.

Even if you do not have information for all the boxes below, please fill in what you can. We will take care of the rest.

Thank you for taking time to help us bring another student to the veterinary profession and the WSU family!

First Name *
Middle Name *
Last Name *
Gender		Male Female
Age
Street Address *
City *
State/Province *
Zip/Postal Code *
Phone Number
E-mail *

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The future Cougar is in:

	Grade School High School College Graduate School
	Graduation Year: School/College Name:

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Additional Information:

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When we contact the prospective student, may we mention you referred him or her to us?
Yes   No

Your Name
Relation to Student
Your Email

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