New Student Chapter- Foundation for Veterinary Dentistry

Full Name of School
Faculty Advisor (name)

You will need a Faculty Advisor to register your club with your University
Faculty Advisor's Email
Upload chapter membership roster here (excel, word, .pdf only)

Attach Files
Number of students in club?
Chapter's President Chapter's President First Last
President's Email
Is your club registered with your School?

You will need to be registered with the school to receive funds from the Foundation of Veterinary Dentistry.
mailings address for compendium
Name for mailings Name for mailings First Last
Title of person above (if applicable)
Address for mailings Address for mailings
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please share your facebook page or club website. It will be linked to the Foundation website - www.VeterinaryDentistry.org
What are the goals for this club for this school year?
What is the proposed use for the funds donated to your club by the Foundation for Veterinary Dentistry?
Did any students attend the Veterinary Dental Forum?
Any suggestions for additional support from the FVD?
Submit

Submit Yes
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