(Part 1) LP Application

Name

First

Last

Email

Address

City

State/Province

Zip/Postal

Phone

States currently licensed in

States previously licensed in but not renewed

Would you be willing to relocate?

Where?

Please Explain

Preferred commute time

Have you been an owner/partner with another organization in the past?

Where

When?

For how long?

Why did you stop being an owner/partner?

Do you have a non-compete/non-solicit in place?

What is the address of your non-complete/non-solicit?

What is the mileage of your non-compete/non-solicit?

What are the time parameters of your non-compete/non-solicit?

Why would you make a great CityVet partner?

What skills or experience do you have that might be considered unique from other applicants?

Tell us about your experience with leading a team and describe your leadership style

What qualities would you build your culture off of?

How many hours a week do you work?

Please describe your schedule (days per week, surgery days, relief shifts, etc.)

When your clinic initially opens, do you have any schedule restrictions (days of the week, shifts, etc.)?

How many pets, on average, do you see daily?

What is your average ACT (average client transaction)?

What is the approximate amount of hospital revenue you generate per day?

Is there anything you’d like to expand on?

How do you determine if you are able to work up a medical case or refer out?

Are there any components of general practice you are opposed to performing?

List any medicine/surgery competencies where you feel you lack experience, confidence, or need more support.

What non-routine surgical cases have you had the most experience with? What has been the success rate?