Clinical Pathology Residency Application Portal Applicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email Current Status*Please choose the most appropriate description of your current position.Veterinary StudentGraduate StudentVeterinary InternVeterinary ResidentPracticing VeterinarianApplication MaterialsCV*Letter of Intent (with statement of career objectives)*Official Transcript Submission*Transcripts must be official, and sent directly from your institution. Unofficial copies submitted by the applicant will not be accepted. Please select how your transcripts will be submitted from the options below: (Preferred) A link to my digital transcripts has been emailed to Jenna Saxton at JSaxton@ufl.edu A hard copy of my transcripts have been sent to Jenna Saxton at Jenna Saxton PO Box 100123 Gainesville, FL 32610 Emailed Transcripts*Which institution(s) have sent us transcripts digitally?Mailed Transcripts*Which institution(s) have mailed us transcripts?Veterinary School Class Rank*Please enter your veterinary class rank out of the total number in your class. (Must be entered in three digit format. Example: 001/100 or 025/085). If you are unsure of your veterinary school class rank, please ask your office of student/academic affairs.Visa RequirementsFor full consideration, all candidates must answer the following questions.Work Authorization*Are you authorized to work in the United States?YesNoVisa Sponsorship*Do you now or will you in the future need an employer to sponsor you for a VISA to work in the United States?YesNoCountry of Citizenship*Which country are you a citizen of?Current Location*Are you currently located in the United States?YesNoVisa Status*If you are currently located in the United States, what is your visa status?J-1F-1STEM Extension Eligibility*If you are currently here on an F-1 visa, are you eligible for a STEM extension?YesNoI'm not sureLetters of RecommendationPlease use the space below to provide contact information for each of your references. An email will be generated to them with submission instructions. It is your responsibility to alert them to expect an email, and to follow up to ensure they are submitted. Letters must come directly from the reference. Letters submitted by the applicant will not be accepted. We will contact you to confirm receipt as they come in.Reference 1 Name* First Last Reference 1 Phone*Reference 1 Email* Enter Email Confirm Email Reference 1 Institution*Reference 1 Title/Position*Reference 1 Relationship to Applicant*Reference 2 Name* First Last Reference 2 Phone*Reference 2 Email* Enter Email Confirm Email Reference 2 Institution*Reference 2 Title/Position*Reference 2 Relationship to Applicant*Reference 3 Name* First Last Reference 3 Phone*Reference 3 Email* Enter Email Confirm Email Reference 3 Institution*Reference 3 Title/Position*Reference 3 Relationship to Applicant*Certification I certify that all information provided is accurate and, to the best of my knowledge, true. Additionally, if any of this information should change, I will reach out to the University of Florida to update my application. Finally, I understand that it is my responsibility to ensure that all materials are received by the posted deadline. Failure to do so may cause my application to not be considered.Signature*
