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| A. Professional History and Experience | ONLY show work experience on this form from June 1 2019 till June 1 2024. You must be considered a credentialed veterinary technician/nurse for all years claimed on the form.
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| B. Letter of Agreement | Must be signed by a board certified doctor, board eligible doctor or VTS who works with the applicant applying to AVTAA.
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| C. AVTAA Waiver | This waiver MUST be present in Folder 1 of the complete application.
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| D. CE form | This is ONE page. Download and save as many pages as needed to properly document your CE attendance. CE must be included in Folder 1 of the complete application.
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| E. Employer Skills Verification | ONE qualified individual from each employment location between January 1 2024 and December 31 2024 will need to sign this form. Include this document in Folder 1 of the complete application.
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| F. Employment Location | The applicant MUST complete this form and include it in Folder 2 of the complete application. Use this form when filling out location on the case logs and skills forms.
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| G. Case log | Use this form to document cases that demonstrate your advanced anesthesia knowledge and skill. This form is blinded and should only contain your applicant number to identify you. Include this document in Folder 2 of the complete application.
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| H. Abbreviations | Use this page to help abbreviate for the case logs. This document is also the last page of the case log document.
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| I. Small Animal Skills List | Skills list for SMALL ANIMAL applicants. This form is blinded and should only contain your applicant number to identify you. Include this document in Folder 2 of the complete application.
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| J. Large Animal Skills List | Skills list for LARGE ANIMAL applicants. This form is blinded and should only contain your applicant number to identify you. Include this document in Folder 2 of the complete application.
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| K. BLANK Anesthesia Record | If the anesthesia record at your place of employment does not show the same or more information as this anesthesia record then you may use this form. The case reports and anesthesia records are blinded and should NOT contain any information that identifies the applicant, place of employment or owner information. All anesthesia records should be included in Folder 2 of the complete application.
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| L. Plagiarism Affidavit | Read this document and following the links to learn about plagiarism. Sign and date this document and include it in Folder 1. Your signature verifies that you understand plagiarism, ways to avoid it and the penalty enforced by AVTAA should it occur
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