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One of VAFAW's goals is to become a Constituent Allied Organization of the AVMA, giving us a voice -- and a vote -- in the House of Delegates. To achieve this, we need to know which of our members are also members of the AVMA. Are you a member of the AVMA? *

If yes, please provide your AVMA number. If you don't know it, write "unknown."

The name of the veterinary medical college where I graduated from: *

The year I graduated from my veterinary medical college was: *

Birthday

I am involved in academia/research.

Yes

If you answered "yes," please briefly explain.

I am involved in animal agriculture.

Yes

If you answered "yes," please briefly explain.

The name of the veterinary medical college where I expect to graduate from: *

The year I expect to graduate from my veterinary medical college is: *

Please provide a non-school email address so we can stay in touch after graduation. *

Please explain your interest in VAFAW. I am: *

a veterinary technician.

involved in research/academia.

involved in animal agriculture.

other.

Please briefly explain your answer to the previous question.

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