VMLRP -NIFA-02-10 Personal Statement

Name:

	NIFA Veterinary Medicine Loan Repayment Program (VMLRP)	National Institute of Food and Agriculture US Department of Agriculture NIFA-02-10 OMB No. 0524-0050 Form Approved For Use Through 9/30/2019
Personal Statement
NIFA Veterinary Medicine Loan Repayment Program

Instructions (NEW APPLICANTS): Use 10,000 characters or less including spaces (approximately five double-spaced, typed pages) to describe your short-term and long-term career objectives in veterinary medicine, your plan to achieve these objectives, your relevant knowledge, skills, abilities and experience, and your practice plans and logistics to address the specific shortage situation to which you are applying. Include an explanation of 1) why you believe the situation you are applying for is one truly in need of food supply or other specialty veterinary services, and 2) why you believe you are well trained and professionally positioned to mitigate this shortage situation.

Instructions (RENEWAL APPLICANTS): Use 10,000 characters or less including spaces (approximately five double-spaced, typed pages) to provide a progress report starting with the time since the start of your current (or most recent) VMLRP award, including how you are effectively addressing the specific shortage situation in which you are serving. Include an explanation of why you believe you are well trained and professionally positioned to continue the mitigation of this shortage situation.

Instructions (ALL TYPE I and TYPE II SHORTAGE APPLICANTS): Include a map (limit to one page) demonstrating where the shortage situation proposed to serve is in relation to the veterinary practice you will be working from. For mobile practices use the location where the day starts and stops. Any spatial features added to the map (e.g., circles, points, etc.) to highlight these areas may be handwritten.

Instructions (ALL APPLICANTS): Please include your name, date, and the page number in the header of each page of your personal statement. Handwritten information in the header is acceptable, but no handwritten answers for the personal statement will be accepted.

Public reporting for collection of information is estimated to average 6 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the date needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a current valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to NIFA, OEP, 800 9^th St. SW, Washington, DC 20024, Attention Policy Section. Do not return the completed form to this address.

NIFA Form 02-10

OMB No. 0524-0050