The Power of 10 program is a VVMA initiative designed to help recent graduates
(2011-2016) develop fundamental skills in leadership, communication and business.
Please be sure your employer will be supporting your involvement in this initiative, as you
will likely miss work days for these important sessions.
Name: ________________________________________________________________________
Veterinary College ______________________________________________________________
Graduation Year: _____2011_____2012 _____2013 _____2014 _____2015 _____2016
Practice Name: _________________________________________________________________
Mailing Address: _______________________________________________________________
City_________________________ State___________________________Zip_______________
Is this a home or practice address? ______________________________________
Daytime Phone: ________________________________________________________________
Cell Phone: ___________________________________________________________________
Email: _______________________________________________________________________
Please briefly describe why you’re interested in the Power of 10 Leadership program and what
you hope to gain by participating:
Email, Mail or Fax application to: VVMA, 3801 Westerre Parkway, Suite D, Henrico, VA 23233
Fax: 804-346-2655 | Email: [email protected] | Phone: 804-346-2611