Practitioner Sabbatical Program College of Veterinary Medicine Auburn University You may now complete your application form online!! The form will be emailed directly to the Continuing Education Department. Upon receipt of your email a representative will contact you for further details. General Information: Registration Fee: $25.00 Sabbatical: $500 to $100 (total amount will be determined by area and intensity of study) Questions: 1-800-483-8633   Your email address: Subject Name: Today's Date: 5/12/2008 Address: City: State: (ex. AL) Zip Code Telephone: Email: Fax Number: (Please list all degrees and the University from which they were attained) Degrees: Year Awarded Last Degree: (Please select the areas of study for which you are interested) Preferred Area of Study: Internal Medicine Pharmacology Neurology Small Animal Surgery Theriogenology Endocrinology Sports Medicine Small Animal Medicine Dermatology Ophthalmology Oncology Equine Medicine Radiology Echocardiography Ultrasound Equine Surgery (If not listed above what other area would you like to study?) Other: Proposed Faculty Mentor: (if known) Proposed Dates: Goals to be Accomplished During Program: