Clinical Pathology Residency Application Portal Applicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Enter Email Confirm Email Current Status*Please choose the most appropriate description of your current position. Veterinary Student Graduate Student Veterinary Intern Veterinary Resident Practicing Veterinarian Application MaterialsCV*Max. file size: 125 MB.Letter of Intent (with statement of career objectives)*Max. file size: 125 MB.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 Maura Pedersen at mcpedersen@ufl.edu A hard copy of my transcripts have been sent to Maura Pedersen at Maura Pedersen 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? Yes No Visa 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? Yes No Country of Citizenship*Which country are you a citizen of? Current Location*Are you currently located in the United States? Yes No Visa Status*If you are currently located in the United States, what is your visa status? J-1 F-1 STEM Extension Eligibility*If you are currently here on an F-1 visa, are you eligible for a STEM extension? Yes No I'm not sure Letters 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 (type your name here)*
