Central Iowa Veterinary Technicians Association

 

The membership application is only for people who do not attend monthly meetings or are not currently employed at a veterinary hospital or clinic.

 

An asterisk * indicates a required field.
*Your name
*Email address
*Current Position
*Street Address
Apartment/Unit No.
*City
*Zip Code
*Home Phone
*Current Employer
Time Employed
Current Job Title
Current Job Duties:
Have you ever been employed at a veterinary clinic? Yes  
Name of Clinic
Address of Clinic
Time of employment at clinic
Clinic Job Title
Why do you want to join the CIVTA?
Do you plan to run for elected office or work on any committees?
Please list any special skills, talents, awards or activities that you would like the CIVTA board to know about:
Is there anything else you would like the CIVTA board to know about yourself?