Application: Preceptor Step Program
You are applying for the consideration into ChiroPro's Preceptor Step Program (PSP)
Basic Information About You
First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Chiropractic College/University
*
Expected Graduation Date
*
Professional & Clinical Readiness
What Techniques and Systems are you trained in and comfortable with?
*
Top 3 Clinical Interests (e.g. decompression, functional med., etc.)
*
Preferred Start Date
*
Company Alignment and Future Goals
Describe your ideal preceptorship experience.
*
What do you hope to learn/gain?
How do your personal values align with our core values?
*
Core: passion, leadership, teamwork, integrity, excellence, adaptability, respect
Are you interested in employment after preceptorship? (not required)
*
Definitely Yes
Maybe Yes
Unsure
Probably Not
Definitely Not
Other
Where do you see yourself in 2-5 years?
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2 years: 5 Years: Other:
Submit
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