CAETA Instructor Intake Form

CAETA Instructor Intake Form

GETTING TO KNOW YOU - This form is our opportunity to learn about you and your desire to teach euthanasia best-practices for the Companion Animal Euthanasia Training Academy (CAETA).
1. What is your name?*

First NameLast Name
2. What is your best email address?*
example@example.com
3. What is your professional role?*

VeterinarianVeterinary StudentVeterinary TechnicianOther Veterinary Professional
4. Please list your veterinary or technician license number(s). Include all states/provinces where you've held licensure.
5. What country are you currently residing in?*
What is your zip code?*
6. How long have you been in the veterinary field?*

Less than 5 years5-10 yearsMore than 10 years
7. How many euthanasia appointments have you participated in during your veterinary or shelter career?*

Less than 10001000-2000More than 2000
8. Have you completed the CAETA 10-hour Master Program?*

YesNo
9. How many times have you taught a live audience, virtual or in-person?*

Less than 2525-50More than 50
10. Do you have interest in writing content for CAETA training events or for CAETA publications?*

YesNoMaybe
11. How many teaching events a year would you like to lead?*

20 or less20-5050 or moreDepends, let's talk.
12. What do you find to be the best part of teaching?*
13. Are you willing to continue learning about euthanasia and strengthen public speaking skills to be the best Instructor you can be?*

YesNo
14. Please share anything you'd like us to know about your goals for teaching euthanasia.*
After completing the survey, you will be contacted to discuss opportunities. If you indicated you have yet to complete the CAETA 10-hour Master Certificate Program, please do that at your earliest convenience. All instructors will need to obtain the certificate before moving into an instructor role. Next steps will then include a pre-assessment quiz to understand your current knowledge related to companion animal euthanasia. We look forward to getting to know you better!
Contact Record Type
Please verify that you are human*
Should be Empty: