ECVP Resident registration form

Registration as a Candidate for the Certifying Examination of the European College of Veterinary Pathologists

(to be submitted by the training supervisor)
Resident information:
Name*

First Name Last Name
E-mail address*
Month/Year of graduation in Veterinary Medicine*
Faculty/School of graduation*
European country where the candidate is registered/licensed to practice*
Date (day/ month / year) of commencement of Residency Training Programme*

DayMonth Year
Date
Address of the Training Centre*
ZIP-Code / City
Country*
Phone Number*

Area Code Phone Number
Additional information:
Supervisor*
Full Name
E-mail address of Supervisor*
example@example.com
Name of Programme Director*
Full Name
Training Centre*
Route Type*

Normal RouteAlternative Route
*** If you select an Alternative Route, please attach the following support documents:

a) an outline of the planned training programme (prepared and signed by the candidate and the Sponsor)
b) support letter from a Sponsor/Supervisor (Diplomate of the ECVP or the ACVP, based at an ECVP Registered Residency Training Centre). The Sponsor will be responsible for the Trainee’s application to the examination.
Support documents for the Alternative Route

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Important information for candidates commencing their training on or after 01.02.2014 who intend to sit the ECVP certifying examination in February 2017 onwards:

In order to commence a 3-year residency training in veterinary pathology, the candidate must have completed an “internship” (i.e. have worked or undergone training as a veterinarian in a field relevant to veterinary pathology (“internship”) for at least one year (12 months) subsequent to graduation from veterinary school).
Internship: Please provide a brief summary and dates of the Resident's work experience since graduation (copy and paste from a document is available in this field) *
* Internship and work experience example:

10/12/2018 – 31/12/2019 Internship (minimum of 12 months) 'Name of the Institution', 'Type of the Position', 'Description of duties'

01/01/2020 – present: Other work experience 'Name of the Institution', 'Type of the Position', 'Description of duties'
Should be Empty:

Registration as a Candidate for the Certifying Examination of the European College of Veterinary Pathologists