A/C/DVLM Entry Form

Submit your application for entry to the VMG/ILM combined Award, Certificate and/or Diploma in Veterinary Leadership & Management here. Entry requirements are detailed on the CVLM page. To secure your place you will also need to pay a registration deposit of £200 via this page (deposit details are also given on submission of this form).

Your Details
First Name*
Surname*

Your first name and surname as entered here will be how they appear on your certificate, so please type carefully!
Known As

If you're usually called a different or short version of your name, or would like to let us know your preferred pronouns, please tell us what we need to know.
VMG Membership Number

Optional - if you would like to take advantage of the VMG Members' discount on course fees, and can't remember your membership number/are not yet a member, please email the office.
Practice/Organisation*
Postal Address*
Address Line 1 Address Line 2 Town/City County Postcode Country

Your certificate will be sent to this address.
Job Title*
Email*
Enter Email Confirm Email

All course correspondence will go to this address so make sure it's one you have regular and reliable access to.
Phone*
Date of birth*
DD slash MM slash YYYY

Required to process your ILM Student Membership
Your Course
Proposed entry date*
- Spring 2022
- Autumn 2022
- Spring 2023
Qualification intended*
- Award (1 module, 2 - 3 months)
- Certificate (4 modules, 10 - 12 months)
- Diploma (8 modules, 18 - 24 months)
This is not definitive at this stage, it just helps us with planning.
How did you hear about the course?*
Your Billing Details
You only need to fill in this section if invoicing details are different from your own contact details above.
Invoice Address
Street Address Address Line 2 City ZIP / Postal Code
Invoicing Email
Enter Email Confirm Email
Invoicing Ref/PO Number
Submit your application here
Declaration*
By submitting this application I confirm that I have met the criteria for the VMG/ILM Award, Certificate and/or Diploma in Veterinary Leadership & Management and have the support of my employer (if applicable). I understand that my application is not complete until my entry fees are paid.

Your Details

Your Course

Your Billing Details

Submit your application here

Veterinary Management Group

office@vetmg.com

07000 782 324