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Application for Veterinary Technician

First Name:
Middle Initial:
Last Name:
Email Address:
Date of Birth:
I am a graduate of an AVMA accredited program in Veterinary Technology
School Attended: required Year of Graduation: required
I am currently certified/registered/licensed as a veterinary technician in the state of:
To become certified, candidates must pass the Veterinary Technician National Exam.
To register for the National Exam,
you must register through the AAVSB website at

Certification Fee is $60.

Please select payment method:
Visa   MasterCard Discover American Express
Credit Card Number:
Credit Card Exp:
CVV Code:

cvc code

Please send a copy of your diploma or official transcript from your school to:
Minnesota Veterinary Medical Association
101 Bridgepoint Way, Suite 100
South St. Paul, MN 55075
If you have any further questions, please call the MVMA OFFICE at 651-645-7533.

Minnesota Veterinary Medical Association
Copyright © 2015