Associate Application Form

Welcome to Lifetime Wellness Practice.

Our vision is that every man, woman, and child experience life through a healthy nervous system from birth.

Download the Associate Application Form Here

Who is this Application for?

Download the Associate Application Form Here

Download the L.E.A.D. Coaching Test form Here

Interpersonal Communication
Survey

First Name

Last Name

Phone *

Email *

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

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

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

Yes

No

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 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)? *

Yes

No

20. Do you have questions for us that would help in determining if this is the right place for you? *

22. Are you willing to attend weekly meetings and trainings? *

Yes

No

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 [email protected]

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