Application | Veterinary Associate Success

Please complete this application to be considered as one of our Veterinary Associate Success Program members. Remember, space is limited and we’ll only be accepting a limited number of members into this program.

Applications are reviewed on a first-come, first-served basis.

This application will help us know if this program is a match for you and if you’re truly ready for the transformation it will help create for you in your life and career. It will also help us decide if we’re the right fit to work together over the next six months. So, please be completely honest with your answers. Your application is 100% confidential.

If you need additional assistance, please contact me at (410) 820-4757. The act of simply completing this application will help move you forward in a powerful way!

To your success,

Michael

Michael Linardi, PCC, MS

Dean

Dean Tyson, DVM

Name
First Last
Email
Practice Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Office Phone
Cell Phone
Website
How long have you been a Veterinarian?
Describe the type of practice you are. IE: number of Drs., large or small practice, etc
If you are accepted into the program, what are your top 3 Business Goals you want to accomplish by the end of our time together?
When you make a decision do you:
- make it quickly?
- think about it, analyze pros/cons then decide?
- analyze for months before finally making a commitment?
What currently holds you back from achieving the level of personal and professional success you want in your career?
Do you have any other commitments that could keep you from being 100% successful in this program? This could be a community service, board commitments, family, etc.
If you are accepted into the program will you be able to commit to the fee without undue stress?
What are the 3 biggest challenges you’re facing in your career right now (please list them in order, #1 being the MOST pressing issue)?
What does your typical workday look like?
What do you consider to be your Unique Strength?
What about you tends to most get in your way of creating bigger success?
If you could change 3 things about your career (or your life) what would those 3 things be?
Are you carrying educational debt? If so, does it feel manageable to you?
What new or novel talents, shifts on life experiences, will you bring into this program?
What are the top 5 highest priority projects on your to-do list right now?
Why is it important for you to be accepted into this program? What is at stake for you?
What are your expectations? How will you measure your success at the end of this program?
Is there anything else you’d like us to know in considering your application?
I, _, have read the Veterinary Associate Success Program description and would like to be considered for acceptance as one of the members for the next six months. At this point in time, I understand I am showing interest only in this program and am under no obligation. I further understand that if I’m accepted into this program, after submitting a payment form, I am committed to the program for its duration. I agree, at that time, to honor my mentoring group fee payment schedule and show up fully and powerfully in my life and in my profession. Thank you for your honesty in completing this application. You have taken a big step forward in your commitment to fulfilling your vision for success in your career. We are excited to review your application and potentially schedule a private interview to complete the application process. If you’re accepted into this program, I know this will be an amazing 6 months for you! THANK YOU!
Signature
Please print your name below.
First Last
Email
This field is for validation purposes and should be left unchanged.