Blue Heron - Candidate Interest

1
Candidate Information* This field is required.
Name
Address
Email
Phone
2
#1 In what type of position are you interested?* This field is required.
Full-time
Part-time
Either
3
#2 Are you interested in ownership opportunities?* This field is required.
Yes
No
4
#3 On a scale of 1 - 4 how important to you is receiving mentorship?* This field is required.
1 - Very important
2 - Pretty Important
3 - Somewhat important
4 - Not important
5
#4 In which geographic locations would you be interested in working?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
6
#5 What areas of medicine are you interested in?* This field is required.Please select all that apply
Small Animal
Food Animal
Mixed practice
Equine
Exotics
Emergency
Other
7
If Other, Please list
8
#6 Do you have/are you pursuing any certifications in addition to your DVM?* This field is required.
9
#7 Have you completed any specialty internships?* This field is required.
10
#8 Are you board certified? If so, in what area?* This field is required.
11
#9 What is your ideal practice size (number of doctors)?* This field is required.
1-2 DVM
3-5 DVM
6-10 DVM
10+ DVM
12
#10 What year did you graduate from vet school?* This field is required.
13
#11 How many years in practice?* This field is required.
Less than one
1 - 5
6 - 10
10+
14
#12 Attach a Resume* This field is required.
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