The VMC School of Veterinary Practice Management
Enrollment Application

Please print this page and mail or fax your completed application to:

VMC, Inc.
Veterinary Management Consultation
30792 Southview Drive, Suite 200
Evergreen, Colorado 80439
Phone (303) 674-8169
Fax (303) 670-3899

Name
Address 1
Address 2
City State Zip Code
Home Phone
Email Address
Number of years involved in veterinary practice management:
Sponsoring Veterinary Facility:
Doctor(s) name(s)
 
Practice name
Address 1
Address 2
City State Zip Code
Telephone
Fax
Educational Background:
High School No. years completed
Technical School No. years completed
Certification(s) obtained
College No. years completed
Degree(s) obtained
Graduate School No. years completed
Degree(s) obtained
Practical Experience in Veterinary Practice Management:
Please list the veterinary facilities you have been associated with, number of years, and areas of responsibility (most recent first).
Veterinary Facility:
No. of years:
Areas of responsibility - Check All That Apply:  
Inventory Control Client Education
General Bookkeeping Accounts Receivable/Collection
Financial Management Facilities Maintenance
Hiring/Training Lay Staff Marketing
Scheduling Continuing Education
Select/Hire Professional Staff Internal Controls
Budget/Financial Statements Equipment and Bulk Purchasing
Reception Human Resources
Supervise Receptionists OSHA
Technician Record Keeping
Supervise Technicians Remodel/Expansion/Building Projects
# of Doctors: # of Staff:
Type of Practice - Select ONE:  
Small Animal Mixed
Large Animal Specialty/Referral
 
Practical Experience in Business Management:
Please list the most recent company with which you have been associated, number of years, and areas of responsibility.
Company Name:
No. of years:
Areas of responsibility - Check All That Apply:  
Inventory Control Client Training / Communication
General Bookkeeping Accounts Receivable/Collection
Financial Management Facilities Maintenance
Hiring/Training Lay Staff Marketing
Scheduling Continuing Education
Select/Hire Professional Staff Internal Controls
Budget/Financial Statements Equipment and Bulk Purchasing
Human Resources Supervise Receptionists
OSHA Remodel/Expansion/Building Projects
Type of Business: # of Staff:
 
Please list any other affiliations, activities or related experiences involved with veterinary practice management:
 
 
 
Once your application has been received, it will be reviewed and you will be assigned to a class with other students with similar backgrounds and abilities. You will be contacted regarding the dates of the class before being confirmed for it.