NWC Associate Application Form

ASSOCIATE POSITION APPLICATION
Network Wellness Center
(303) 998-1000
www.NetworkWellnessCenters.com
NAME*

First NameLast Name
EMAIL*
example@example.com
PHONE NUMBER*

Area CodePhone Number
1. Are you willing to be in the office 5 days/week, seeing practice members (approximately 35-45 hours a week in the office)?*

YesNo
2. Are you willing to be trained and follow the exact Lifetime Wellness Practice procedure guidelines?*

YesNo
3. You will be working with another doctor as an associate, are you willing to be closely mentored?*

YesNo
4. Are you willing to adjust only the spine utilizing NetworkSpinal?*

YesNo
5. Are you prepared to learn and use X-Rays and spinal scans as a primary analysis procedure?*

YesNo
6. Are you willing to adhere to a dress code?*

YesNo
7. Are you willing to participate in spinal screenings and other chiropractic weekend events for additional hours?*

YesNo
8. Are you willing to fully immerse yourself to learn Network and our procedures as quickly as possible?*

YesNo
9. Why do you want to practice NetworkSpinal?*
10. What would you like to give to this experience? *
11. What would you like to gain from this experience? *
12. When are you looking to begin employment?*
13. Are there any major influences that could create difficulties with the acceptance of the position and your work hours (such as significant other, children, weddings, etc.)?*
14. What are your specific financial obligations (student loans, credit cards, mortgages, child support) that this position needs to help you provide for?*
15. What led you to become a chiropractor?*
16. What do you perceive to be your known strengths? *
17. What do you perceive to be your known weaknesses? *
18. Do you have any health challenges that would impede your expected performance?*
19. Are you willing to work towards pre-determined goals (practice member visits/week)?*

YesNo
20. Do you have questions for us that would help in determining if this is the right place for you?*
21. How did you hear about Lifetime Wellness Practice?*
22. Are you willing to attend weekly meetings and trainings?*

YesNo
23. Is there anything else you feel is important that may not have been covered in consideration of your employment?*
24. Please email a recent photo and CV to DanielKnowles@NetworkWellnessCenters.com
Should be Empty:

24. Please email a recent photo and CV to DanielKnowles@NetworkWellnessCenters.com