Certification Application

If you are renewing your certification, please do so here: CERTIFICATION RENEWAL 

Please fill out the application below. You can submit the form digitally as well as submit your payment via PayPal. There will be a link in the confirmation window after you submit your form that will take you to our PayPal portal. If you prefer to fill out a hard copy of the application and mail a check, the instructions for how to do so are on the bottom of this page.

The application fee is $75.00.

    Your Name

    Your Email

    Your Phone

    Home Address (include state & zip)

    Place of Employment

    Work Address (include state & zip)

    Work Phone

    Is this a new certification?

    YesNo

    If this is a new certification are you a New Grad or Transferring from another state?
    New Graduates please provide the following:

     Copy of Diploma from AVMA Accredited Min 2 year Vet Tech Program
     Passing VTNE score
     No CE is required with new certification.
    Transfer from Out of State please provide the following:

     Copy of Diploma from AVMA Accredited Min 2 year Vet Tech Program
    (waived if transferring state accepts On The Job trained credentialing)
     Please Contact AAVSB to transfer VTNE score to BSVTA
     Please have transferring state send letter of verification indicating that your
    credential is current and if there are have been any disciplinary actions.
     16 hours of CE are required on even years.
    (8 hours must be in person lecture/lab hours)
    Please send paperwork to:
    BSVTA
    c/o Marcia Cantrell, CVT
    6 Stallion Ridge
    Livingston, MT 59047
    Or email to: marciacantrellcvt64@gmail.com

    Issuing State

    License Number

    Please note: This form is for Certification only. To become a member of BSVTA please fill out our member application form.

    Print the 2021 Certification Application

    Printed application Instructions:

    •  Fill out and sign the application
    • Make check payable to BSVTA:
      o New certification Fee: $75
      o Renewal Certification Fee: $75 (postmarked before Dec 31st )
      o Late Renewal Certification Fee: $100 (postmarked after Dec 31st )

    Return all documentation to:

    BIG SKY VETERINARY TECHNICIAN ASSOCIATION
    c/o Marcia Cantrell, CVT
    6 Stallion Ridge
    Livingston, MT 59047

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