
First, congratulations on taking the first step.
Now you're here on the application page... and you're probably thinking:
Is this really for me?
Will this work in my practice?
Am I ready for this level of commitment?
I understand.
In fact, you're in good company because almost every dentist who has made a significant investment in their growth has asked themselves those same questions.
The application is not about whether you're "good enough" to join.
It's about whether The Trust Study Club™ is the right fit for where you are today.
The application takes approximately 5 minutes to complete.
Please answer each question thoughtfully. The more context you provide, the better I can understand your practice and determine whether we're the right fit for one another.
That's why, before you fill out the application, I want you to watch the short video above.
Then complete the confidential application below. Every application is personally reviewed by me.
I look forward to learning more about your practice.
— Dr. Galia Anderson
Founder, The Trust Study Club™
This is my confidential application form:
First Name
Last Name
Phone
Practice Name
City / Province or State
Years In Practice
Current Practice Structure
Approximate Annual Collections
What has you most excited about joining The Trust Study Club™?
What is your primary goal for your practice over the next 12 months?
If we were speaking 12 months from today and you considered this year a major success, what would have
happened professionally and personally?
Which area of your practice currently represents your biggest bottleneck?
What have you already tried to solve this challenge?
What worked?
What didn't?
Which statement best describes your current situation?
What is the single biggest challenge preventing you from reaching your next stage of growth?
Why do you believe now is the right time to address this challenge?
On a scale of 1–10, how committed are you to improving your practice and implementing new ideas?
If accepted, are you prepared to invest time each month implementing what you learn?
Anything else we should know about your practice or goals?