University of Kentucky College of Agriculture, Food & Environment


Gluck Center > Education > Undergraduate Students > Application Instructions for Veterinary School 2015 > Applicant Information Form Update

Applicant Information Form Update

Please keep your contact information current!

If you move and/or change your telephone numbers or e-mail address, let us know. Otherwise, important new information may not reach you in time.

Please enter today's date.
Please enter your full name.
Please enter your Student ID number.


Only submit NEW information.


If yes, where:


Contact Information

Please provide both Home and Cell phone numbers if you have both.
If yes, work phone:


Address Details
If yes, permanent home phone:
Application Details
If no, State of residency:
Degree Details
If yes, Institution and month/year:
If yes, Institution and month/year:

(eg. research, teaching, public health, regulatory, etc.)
If you're having technical difficulties with this form, please email


Maxwell H.Gluck Equine Research Center
Department of Veterinary Science, University of Kentucky
Lexington, Kentucky 40546-0099

Main Office (859) 257-4757
Fax (859) 257-8542