California RVT Alternate Route Program – Veterinary Allied Staff Education

Student Application | Fall 2026 Session Starting in August

Please fill out the information below to receive the download links to the Student Enrollment Agreement. Due to California State Law, you will need to download, print out, complete the enrolment agreement and mail it, email it or fax it to Veterinary Allied Staff Education. Unfortunately, due to California law this application process can not be completed online at this time.

Program Information

The Registered Veterinary Technician Alternate Route Program is completed 100% online from the student’s own computer at our website www.vetstaff‐edu.com. It is a lecture hall setting and does run live. No laboratory set up is needed for the lecture portion of the Alternate Route Program. To qualify for this program, you must have or be close to having 4,416 hours, in no less than 2 years, work experience with a California Licensed Veterinarian. It is a 17‐18 week program consisting of 306 clock hours with class times being Monday – Thursday from 6pm until 10pm.

Student Information

Name*

Please type your name as you wish it to appear on your records:

First Last

Common name

Common name you prefer to use (if applicable)

Physical Address*

Street Address Address Line 2 City State ZIP Code

Mailing Address (skip If same as above)

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Daytime Phone Number:*

Cell Phone Number:*

SMS Consent

By checking this box, I agree to receive SMS message from Veterinary Allied Staff Education (VASE) regarding enrollment, tuition, course updates, scheduling and student support. Message and data rates may apply. Reply STOP to opt out or HELP for assistance.Message Consent

No, I don’t want to receive text messages

Education Level*

Choose one of the highest education levels you have completed.

GED

High School Graduation

College Degree

Year of Graduation*

Photo or Scan

A GED, High School Diploma or College Degree is required as a prerequisite to taking this course. Please attach a scan or photo of your GED, High School Diploma or College Degree (hint: use your phone to take a photo).

Accepted file types: jpg, gif, pdf, png, Max. file size: 5 MB.

Current Employer Information

Please provide the contact information for your current employer. Make sure the contact information is correct since this person will receive your employment verification for signature.

Place of Employment*

Address*

Street Address City State ZIP Code

Name of Contact Person*

Your supervisor’s name

First Last Suffix

Phone of Contact Person*

Your supervisor’s phone number

Email of Contact Person*

This must be your supervisor’s email address. DO NOT enter your own email address here or the employment verification form will not be sent at all.

Enter Email Confirm Email

Employment Status*

Choose Full-Time >=30hrs / wk & Part-Time < 30 hrs / wk

Start Date*

Salary*

Provide your salary or hourly rate here (required by the state)

Tuition and Fees

The total estimated tuition for this program is $5,100. A non-refundable $100 application fee is required at the time of submission. Upon acceptance, the remaining $5,000 tuition is due. To secure your enrollment, a minimum payment of $1,500 must be received by August 10, 2026 (seven days prior to the start of classes on August 17).

Date*

Application

Application Fee (Non-Refundable)

Application Fee (minimum required) ……$100.00

Total to be Paid with this Application

The payment button will be on the next page along with other options for payment.

Payment Method*

Credit Card in My Name

Credit Card by Third Party

Mail a Check

3rd Party Payer's Name

Please enter the credit card payer’s name here if someone other than you will be paying the application fee so we can match that payment to your application.

Phone

This field is for validation purposes and should be left unchanged.

Application for Enrollment

Enrollment Agreement Fall 2026

Student Application | Fall 2026 Session Starting in August

Program Information

Student Information

Current Employer Information

E-Learning Self-Assessment

Tuition and Fees