Application For Kansas Veterinary License Page 5
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10This form is not applicable to students OR staff of Kansas State University
Dear Applicant,
Once we receive your license/registration application and application fee we will send you,
via U.S. Mail, an open-book jurisprudence examination for you to take and return to our
office. The jurisprudence examination is a requirement for a Kansas veterinary license or
veterinary technician registration. Please sign and date this form which must
accompany your application for licensure/registration.
If you do not return this form with your application, you will be expected to schedule
an appointment, to visit our Wamego Kansas office, to take the open-book
jurisprudence examination.
APPLICANT STATEMENT OF CONFIDENTIALITY
TO THE KANSAS BOARD OF VETERINARY EXAMINERS
I hereby attest that I will not copy or divulge the nature or content of any question on the
Kansas Veterinary Jurisprudence examination to any individual or entity.
I understand that the Kansas Veterinary Practice Act statutes and regulations governing
applications and professional conduct establish that my divulging the nature or content of
any question on the examination could constitute the basis for denial of my application.
I understand that failure to sign and return this statement with my application will result in
me not receiving the examination through the U.S. Mail and I will be required to schedule
an appointment to appear, in person, at the Kansas Board of Veterinary Examiners
Wamego Kansas office to sit for the jurisprudence examination.
___________________________________________
Applicant’s Printed Name
___________________________________________ __________
Applicant’s Signature
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business