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  1. Complete application form
Contact Person:  *
Title:  *
Practice Name:  *
Address 1: 
Address 2: 
City: 
Province: 
Postal Code: 
Phone 1: 
Phone 2: 
Fax 1: 
Fax 2: 
Cell 1: 
Cell 2: 
Email: 
Website: 
Doctor(s): 
Manager(s) 
Head Technician(s): 
Total Technicians: 
Doctor to Tech Ratio: 
Interviewer Name: 
Staff Turnover Rate: 
Do you have a uniform policy: 
Yes No
If yes, please list required color(s): 
Hours of Operation: 
Practice Specialty: 
Comments: 
Do you offer relocation? 
Yes No
If yes, please explain: 
What is your Management Protocol? 
What type of training do you offer? 
Comments: 
Is your staff gven annual reviews & raises? 
HR Policies: 
If other, please describe: 
What personality works best in your practice? 
What benefits do you offer your staff? 
When was the practice established? 
How did you hear about Vet Tech Plus: 
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Additional Comments 

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