Application For Arkansas Veterinary Licensure Page 4
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7F.
CITIZENSHIP INFORMATION:
1. Are you a United States Citizen?
NO
YES
2. If you answered “NO” to the above question, are you:
(Please check one of the following)
A resident alien
A nonimmigrant under the Immigration and Nationality Act
An alien who is paroled into the United States under 8 U.S.C.A. §1182(d)(5) for less
than one year
A foreign national not physically present in the United States
Other
If you checked any of the above, please provide documentation
G.
WORK HISTORY/PRACTICAL EXPERIENCE:
List all employment chronologically since graduation from veterinary school to the present,
beginning with your date of graduation. If you have never been employed as a veterinarian,
insert “N/A” in the first box.
DATE
NAME OF HOSPITAL
TO
FROM
OR FACILITY
ADDRESS
JOB TITLE
EMPLOYER
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