*Extern/Clerkship Feedback (DVM)

This form is a method of capturing feedback about externs and clerkships, and should be completed by a DVM.

Name of student referenced in this form:

Their University for Clinical Rotation:

Their University of Graduation:

Their Date of Graduation:

YYYY

This student's email address:

1. Do you feel that this student meets our core values?

2. Does this student have good communication skills?

3. Does this student have good technical skills?

4. Does this student work well with others?

5. Is this student a fast learner?

6. Would you hire this student?

Please share your feedback about this student and your experience with them:

This form was completed by Dr:

Date:

2025

DVM Signature:

Verification